Clinician, Clinical Response

What You Will Do - Essential Functions

The Clinical Response Clinician provides excellent clinical customer service, utilization management support, and operational guidance to members, families, providers, and internal teams. This completing authorization requests, conducting clinical telephonic screenings, supporting member crisis calls, facilitating referrals to behavioral health, EAP, and community resources, promoting care transitions and discharge planning, addressing routine inquiries, and maintaining thorough documentation. Clinical Response Clinician is expected to demonstrate clinical expertise in medical necessity criteria, health plan and EAP nuances, member crisis support, and Lucet policies, procedures, and quick reference guides. This position may require holiday work due to supporting a 24/7/365 call center model.

Clinical Care & Member Support
Utilizes clinical expertise in behavioral health, including assessment, crisis intervention, motivational interviewing, utilization review, and care recommendations to support members across a wide range of mental health and substance use needs.

Collaborates with members, families, providers, and physician consultants to coordinate care, facilitate access to services, educate on benefits and resources, and ensure appropriate treatment and authorization outcomes.

Clinical Excellence & Collaboration
Delivers high-quality member support by collaborating across clinical and customer service teams, utilizing approved tools and resources, and staying current on behavioral health benefits, technology, and community services.

Contributes to organizational success through ongoing professional development, participation in meetings and special projects, and maintaining flexibility to assist teammates in both routine and urgent situations.

Compliance, Documentation & Professional Development
Maintains accurate and timely clinical documentation while ensuring compliance with organizational policies, regulatory requirements, accreditation standards, and contractual guidelines.

Supports ongoing member and provider engagement through follow-up outreach, while maintaining professional competency through continuing education and required licensure/certification renewal.

Who You Are

Required Qualifications
A current, unrestricted independently license issued by a state or territory of the United States as a Clinical Social Worker, Marriage and Family Therapist, Professional Counselor, Clinical Psychologist or Registered Nurse.
Minimum of two (2) years of direct clinical care experience with patients in facility-based and/or outpatient psychiatric or chemical dependency treatment
Proven written and verbal communication skills, organizational skills, demonstrated willingness to work within a collaborative, team-oriented environment.
Strong clinical skills
Strong computer and keyboarding skills (Microsoft Outlook and Word), including the ability to document while simultaneously while taking information over the phone
This position may support a federal contract with the United States Postal Service. which has specific requirements for all candidates which include:
Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen, which includes marijuana regardless of state legalization.
The ability to undergo a Public Trust background investigation and receive a favorable adjudication.
US Citizenship for at least 5 years.
A current state license or state certification to practice as a mental health practitioner (e.g., social worker, clinical psychologist, marriage and family counselor and professional counselor) in the state(s) where practice takes place. If such licensure/certification is not available in that state, the individual will hold appropriate certification from a recognized national certification organization or board.
Authority to practice at the independent level without requiring state-mandated clinical supervision.

Living our Values
Serving everyone with compassion and leading with empathy.
Stepping up and creating value by taking charge and acting when there is an opportunity.
Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
Nurturing growth and belonging by respecting and celebrating everyone for who they are.
Competencies:
Self-motivated and the ability to assume a role in ensuring that all objectives are met.
Ability to work independently to complete work assignments and team objectives/goals
Maintains curiosity and an eagerness to explore new knowledge and try new ideas and approaches.
Excellent communication and interpersonal skills.
Professional demeanor in response to all situations regardless of the nature or circumstances of the situation.
Ability to multi-task and manage multiple priorities in a fast-paced, changing environment.
Effective critical thinking and problem-solving skills.
Effective time management and strong organizational skills.
Receptive to open and honest feedback, including a willingness to learn and embracing continuous improvement.
Willingness to take initiative.
Ability to remain resilient and optimistic in the face of problems and challenges
Ability to work efficiently and effectively in a remote environment with other remote team members and a remote supervisor.
Working Conditions
High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
Frequent use of computer and phone systems
Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
A quiet workspace with minimal background noise for calls.
This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home.
A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment.