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UM Clinician - BH

Primary Location: Blue Bell, Pennsylvania
Additional Locations: AZ-Phoenix, AZ-Scottsdale, CA-Fresno, CO-Denver, NM-Albuquerque, NV-Las Vegas, PA-Blue Bell, UT-Salt Lake City, UT-Sandy
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Description:
Full time work from home. Preference to those in Mountain or Pacific standard time.
POSITION SUMMARY
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.









Fundamental Components:

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:

3+ years of direct clinical practice experience post masters degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility
Managed care/utilization review 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

EDUCATION
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
Nursing/Registered Nurse
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

Click To Review Our Benefits (PDF)

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