<p>This fully remote Behavioral Health Care Advocate role — open to licensed clinicians anywhere in the U.S. — sits within the Strategic Outpatient Engagement & Management (STEM) team, conducting telephonic utilization management reviews across commercial, Medicaid, and Medicare behavioral health populations. The position operates on a defined Monday–Friday schedule with no weekend or on-call obligations, making it a strong fit for experienced outpatient clinicians seeking clinical impact without direct patient caseload pressure. The salary range is competitive for a remote UM role, reaching up to $107,400 annually, with equity and incentive programs layered on top.</p>
<h3>Perks and Benefits</h3> <ul> <li>Annual salary range of $60,200–$107,400 based on education, experience, certifications, and local labor market factors</li> <li>Incentive and recognition programs tied to individual performance</li> <li>Equity stock purchase plan available to eligible employees</li> <li>401(k) with company contribution (subject to eligibility requirements)</li> <li>Comprehensive benefits package including health, dental, and vision coverage (subject to eligibility)</li> <li>Fully remote position — work from anywhere within the United States</li> <li>Structured Monday–Friday schedule, 10:30 AM–7:00 PM CST; no weekends, no call</li> <li>Career development pathways and internal mobility opportunities within a large, multi-faceted organization</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Inbound telephonic queue model — reviews are conducted directly with treating providers, not members</li> <li>Clinical scope covers outpatient commercial, Medicaid, and Medicare behavioral health services</li> <li>Core function is utilization management: conducting outpatient clinical reviews to determine appropriate level of care and verify coverage guideline compliance</li> <li>Active role in shaping member treatment plans in partnership with providers to promote evidence-based best practices in outpatient psychotherapy and community-based settings</li> <li>Responsibilities include administering benefits and reviewing treatment plans submitted by outpatient and community-based providers</li> <li>Work environment is fully remote with a defined shift structure — requires a distraction-free dedicated home office space and high-speed internet (DSL or cable)</li> <li>Operates within a large behavioral health managed care platform serving millions of members nationally across commercial and government lines of business</li> </ul>
<h3>Qualifications</h3> <ul> <li>Active, unrestricted independent-level clinical license required — eligible disciplines include Psychology, Social Work, Counseling, or Marriage and Family Counseling (LCSW, LPC, LMFT, Psychologist, or equivalent)</li> <li>Licensure must be active and unrestricted in the clinician's state of residence</li> <li>Minimum 2 years of experience in a behavioral health setting, with direct outpatient psychotherapy and community-based treatment experience required</li> <li>Proficiency in Microsoft Office suite (Word, Excel, Outlook) required</li> <li>Preferred: 2 or more post-licensure years in outpatient or related mental health services</li> <li>Preferred: prior experience in managed care, utilization review or utilization management, telephonic clinical review, and/or inbound telephone queue environments</li> <li>Preferred: experience working with electronic medical records (EMR) systems</li> <li>Drug screening required prior to employment; must adhere to remote work telecommuter policy</li> </ul>
<h3>About the Community</h3> <p>This role is fully remote and open to licensed clinicians residing anywhere in the United States, with no relocation required. Whether you are based in a major metro or a smaller market, the defined weekday schedule and work-from-home structure allow you to build a sustainable clinical career without commuting or geographic compromise. Clinicians who value schedule predictability, work-life balance, and the ability to practice from their home state will find this arrangement particularly well suited to long-term career stability.</p>