Aetna Utilization Management Clinician - Behavioral Health in Orlando, Florida

Req ID: 51105BR

Candidates local to Sandy, UT will be office based. Telework is considered for those not local to Sandy.

This is an after hours role which will involve weeknights, weekends, and holidays. Candidates must have open availability to work a second or third shift schedule.

POSITION SUMMARY

This position is for a utilization management clinician. The individual will perform utilization management as well as discharge planning activities for members undergoing mental health and chemical dependency treatment.

Fundamental Components:

This position is for a utilization management clinician. The individual will perform utilization management as well as discharge planning activities for members undergoing mental health and chemical dependency treatment.

BACKGROUND/EXPERIENCE

One of the following licenses is required: LCSW, LPC, LMHC, or RN. Candidate must be licensed to work independently.

3-5 years of direct clinical practice experience post masters degree is required

Managed care/utilization review experience preferred

Crisis intervention skills preferred

Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding

EDUCATION

The highest level of education desired for candidates in this position is a Master's degree.

LICENSES AND CERTIFICATIONS

One of the following is required:

Licensed Clinical Social Worker

Licensed Professional Counselor

Licensed Mental Health Counselor

Registered Nurse with behavioral health experience

FUNCTIONAL EXPERIENCES

Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years

Functional - Clinical / Medical/Precertification/1-3 Years

Functional - Clinical / Medical/Direct patient care (hospital, private practice)/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User

Technical - Desktop Tools/Microsoft Word/1-3 Years/End User

REQUIRED SKILLS

Benefits Management/Encouraging Wellness and Prevention/ADVANCED

Benefits Management/Interacting with Medical Professionals/ADVANCED

Benefits Management/Maximizing Healthcare Quality/FOUNDATION

DESIRED SKILLS

Benefits Management/Understanding Clinical Impacts/FOUNDATION

General Business/Communicating for Impact/FOUNDATION

General Business/Turning Data into Information/ADVANCED

ADDITIONAL JOB INFORMATION

This position is for a utilization management clinician. The individual will perform utilization management as well as discharge planning activities for members undergoing mental health and chemical dependency treatment.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

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 for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care