UM Clinician - BHPrimary Location: Blue Bell, PA
Additional Locations: AZ-Phoenix, AZ-Scottsdale, CA-Aliso Viejo, CA-Chatsworth, CA-Culver City, CA-Encinitas, CA-Fremont, CA-Fresno, CA-Gold River, CA-La Jolla, CA-Los Angeles, CA-Menlo Park, CA-Rancho Cucamonga, CA-Santa Ana, CA-Stockton, CA-Woodland Hills, CO-Denver, NM-Albuquerque, NV-Las Vegas, PA-Blue Bell, UT-Salt Lake City, UT-Sandy, WA-Fife, WA-Kent, WA-Seattle Apply
The Aetna Autism Care Team works within an integrated team to perform utilization review, as well as proactive discharge planning. This includes working in close collaboration with our business partners, as well as the enterprise to promote overall wellness for our members. A license to practice in the state in which you live is required.
Applies critical thinking and is knowledgeable of evidence-based treatment and clinical practice guidelines for Behavioral Health. The majority of time is spent at a desk and on telephonic or records review of precertification/concurrent/retrospective cases with the treating provider/records using specific criteria and making decisions to authorize services for our members OR refer to a physician for a determination. These clinicians also collaborate with providers/facilities to ensure appropriate planning to meet member needs. Background Experience: Behavioral Health licensure required
3+ years clinical experience post-Master's degree required
Experience with children is a requirement
Autism experience is highly preferred
Utilization review experience preferred
Managed care experience preferred
Crisis intervention skills preferred
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing into the computer
The minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Mental Health/Licensed Clinical Social Worker
Mental Health/Licensed Professional Counselor
Mental Health/Licensed Psychologist Additional Job Information:
This is an opportunity to be part of a high performing dynamic team while enjoying the flexibility of working from home. Potential Telework Position: Yes Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests
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