Licensed Behavioral Health Utilization Management Clinician position at Aetna in South Portland

Aetna is hiring Licensed Behavioral Health Utilization Management Clinician on Thu, 02 May 2013 06:26:49 GMT. Candidate must be located within commuting distance to an Aetna office within EST. In office training for one to six weeks, and then transition to work at home/telework full-time.POSITION SUMMARY Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate...

Licensed Behavioral Health Utilization Management Clinician

Location: South Portland Maine

Description: Aetna is hiring Licensed Behavioral Health Utilization Management Clinician right now, this position will be placed in Maine. For complete informations about this position opportunity kindly see the descriptions. Candidate must be located within commuting distance to an Aetna office within EST. In office training for one to six weeks, and then transition t! o work at home/telework full-time.POSITION SUMMARY
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.

EDUCATION
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.

LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required

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Nursing/Licensed Clinical Social Worker (LCSW) and Licensed Independent Social Worker (LISW) is required

FUNCTIONAL EXPERIENCES
Functional -Behavioral health/mental health/substance abuse/chemical dependency/1-3 YearsFunctional - Clinical/Medical/Concurrent review/discharge planning/4-6 Years
Functional - Medical Management/! Direct patient care/4-6 Years
Functional -Clinical experie! nce/inpatient/psychiatric/4-6 YearsTECHNOLOGY EXPERIENCES
Technical - Aetna Applications/Aetna Total clinical View/1-3 Years
Technical - Aetna Applications/Aetna Behavioral Health/1-3 Years
Technical - Desktop Tools/Microsoft Word/1-3 Years

REQUIRED SKILLS
Benefits Management/Interacting with Medical Professionals
Benefits Management/Understanding Clinical Impacts
Leadership/Collaborating for Results

DESIRED SKILLS
Benefits Management/Maximizing Healthcare Quality
Technology/Leveraging Technology
Please note that benefit eligibility may vary by position. Clickhereto review the benefits associated with this position.

Aetna does not permit the use of tobacco related products or drugs in the workplace.

Job Function: Health Care
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Aetna.

If you interested on this position just click on the Apply button, you will be redirected to the official website

This position starts available on: Thu, 02 May 2013 06:26:49 GMT

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