Remote Utilization Management Jobs in Cleveland, TN

Mindoula Health is seeking Therapists licensed in Tennessee (LPC, LCSW, LMFT) to join our Substance Use Disorder Program and serve our substance-exposed members. This position is fully remote.

Our Substance Use Disorder Program focuses on prenatal and postpartum care, as well as supporting individuals facing substance-exposed living. As part of this program, you'll work in a family-focused culture, gaining valuable experience in both the clinical and business sides of the company.

Key Highlights:

• Flexible schedule with the freedom to create therapy groups and utilize evidence-based practices you're passionate about.
• Collaborative work environment where you'll provide biopsychosocial assessments, individual and group therapy, and work alongside your team to coordinate care across various substance use disorder treatment settings.
• Remote work with the autonomy to work from home while making a positive impact on our members' lives.

We're looking for someone eager to join a dynamic team and contribute to the well-being of substance-exposed populations. If you're a passionate clinician looking for a role with flexibility and purpose, we'd love to hear from you!

Compensation: $75,000 a year, plus amazing benefits.

Comprehensive Benefits Package includes:

• Medical, Dental and Vision Insurance
• Supplemental Life Insurance
• Short Term and Long Term Insurance paid by Mindoula
• 401k, with a company match
• 3 weeks paid vacation each year, 4 mental wellness days and 11 holidays
• Parental Leave: 8 weeks of paid parental leave
• Personal Development Program: $500 credit reimbursement per calendar year

How you'll contribute:

• Assesses, plans and implements care strategies that are individualized by member and directed toward the most appropriate and least restrictive level of care.
• Collaborates with member, family and healthcare providers to develop an individualized plan of care.
• Conducts individual counseling and group therapy with adolescents and adults.
• Identifies and initiates referrals for social service programs including financial, psycho-social, community and state supportive services.
• Advocates for members and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team.
• Utilizes approved clinical criteria to assess and determine appropriate level of care for members.
• Documents all member assessments, care plan and referrals provided.
• Responsible for achieving set goals; Key Performance Indicators (KPIs).
• Learning the Substance Use Disorder Program model and taking responsibility and ownership for outcome based care.
• Participates in interdisciplinary team meetings and utilization management rounds and provides information to assist with safe transitions of care.
• Promotes responsible and ethical stewardship of company resources.
• Maintains excellent punctuality and attendance during work hours.

Qualifications:

• LCSW, LPC and LMFT in Tennessee.
• Preferred experience with substance abuse population.
• Background in maternal; substance abuse preferred.
• Experience with adults and adolescents.
• Familiarity with Medicare and Medicaid procedures.
• Remote Work Experience.

Come be part of the solution!