Remote Insurance Utilization Review Jobs in Philadelphia, PA

Sunny Valley Psychotherapy Center is actively seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our compassionate team. This full-time position offers the flexibility of a remote work setting while playing an integral role in our detox center, where you will provide vital counseling services to individuals struggling with substance use and co-occurring disorders.

Sunny Valley Psychotherapy Center is a national leader in addiction treatment services, committed to transforming the lives of individuals and families impacted by substance use disorders. Our mission revolves around eliminating barriers to recovery and delivering effective treatment to over 25,000 patients daily across the United States. We pride ourselves on fostering an environment of inclusivity, support, and professionalism, enabling our employees to contribute to a better world through comprehensive care.

This role will be conducted in a fully remote environment, allowing for flexibility and work-life balance. As part of our detox center’s team, you will collaborate closely with a network of dedicated professionals, including the Clinical Director and Executive Director, to maintain a therapeutic atmosphere conducive to recovery.

• Conduct thorough assessments to determine clients’ counseling needs and formulate appropriate therapeutic interventions.
• Utilize the DSM (Diagnostic and Statistical Manual) for accurate substance abuse diagnostics to ensure each client receives the most suitable level of care according to ASAM (American Society of Addiction Medicine) criteria.
• Develop comprehensive treatment plans that incorporate substance abuse counseling, monitor progress, and adjust plans as necessary to meet client needs.
• Prepare discharge and continuum of care plans that facilitate smooth transitions to appropriate treatment venues, ensuring ongoing support for clients post-discharge.
• Document all counseling sessions, assessments, and referrals meticulously in the clients’ clinical records, maintaining compliance with regulatory standards.
• Manage a caseload effectively, ensuring timely and organized updates for case management and utilization reviews.
• Coordinate support services for clients and their families, recording all interactions and services provided in clinical documentation.
• Engage with referral sources such as legal entities, educational institutions, and employers to create a comprehensive support network for clients.
• Facilitate crisis interventions using a multi-disciplinary approach to ensure immediate and effective responses to client needs.

The ideal candidate will work directly with a diverse client population that includes individuals dealing with substance use disorders and co-occurring mental health issues. You will provide individualized care that considers the unique circumstances surrounding each client, aiming to guide them towards long-term recovery and improved quality of life.

• Master’s degree from an accredited institution in Social Work (MSW) and a valid LCSW license in Pennsylvania.
• Strong understanding of substance abuse treatment methodologies, along with a commitment to continued professional development.
• Demonstrated excellence in establishing therapeutic relationships, with a focus on cultural competency and ethical standards in practice.
• Ability to work autonomously while exhibiting strong organization and time management skills in a remote setting.

• At least two years of experience in a clinical setting, specifically in addiction counseling or in a detox environment.
• Familiarity with electronic health record (EHR) systems and telehealth platforms for documenting client interactions and treatment plans.
• Experience in working with co-occurring disorders, including mental health and substance use issues.

Sunny Valley Psychotherapy Center offers a competitive annual salary ranging from USD 70,000 to 100,000, commensurate with experience and qualifications. A comprehensive benefits package includes:

• 18 days of Paid Time Off (PTO) annually for work-life balance.
• A 401(k) retirement plan with company matching contributions to help secure your financial future.
• Company-sponsored ongoing training and certification opportunities, promoting personal and professional growth.
• Comprehensive health benefits, including medical, dental, vision, short-term disability, long-term disability, and accident insurance.
• Access to the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP) to help manage educational debt.
• Discounted tuition and scholarships at Capella University for continued education and skill enhancement.

At Sunny Valley Psychotherapy Center, we recognize and nurture the potential of our employees. You will have access to numerous opportunities for professional advancement, including leadership roles, specialized training, and involvement in community outreach initiatives that further enhance your professional credentials.

By joining the Sunny Valley Psychotherapy Center, you become part of a passionate and highly skilled team dedicated to making a positive impact on individuals and communities affected by addiction. Your contributions as an LCSW will play a critical role in saving lives and helping individuals achieve long-term recovery. Experience a supportive work environment that champions your professional journey while providing rewarding opportunities to make a difference.

If you are ready to elevate your career and make a meaningful impact as an LCSW in a remote capacity, we invite you to apply. Please submit your resume along with a cover letter outlining your qualifications and motivations for joining our team at Sunny Valley Psychotherapy Center. We look forward to hearing from you!