Clinical Reviewer - Behavioral Health - Part-time (Remote U.S.)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Clinical Reviewer - Behavioral Health - Part-time (Remote U.S.) to join our growing team.

Job Summary:

• The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements.

Responsibilities:

• Assures accuracy and timeliness of all applicable review type cases within contract requirements.
• Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department.
• In collaboration with Supervisor, responsible for quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas.
• Maintains a current knowledge base related to review processes and clinical practices.
• Functions as providers' liaison and contract/resource person for provider customer service issues and problem resolution.
• Performs all applicable review types as the workload indicates.
• Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process.
• Attends training and scheduled meetings for maintenance and use of current/updated information.
• Cross trains and performs the duties of other contracts to provide a flexible workforce to meet client/customer needs.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

** Work Schedule: 20 hours per week, Monday through Friday, within the hours of 8:00 AM and 5:00 PM Central Time. **

Required Qualifications/Experience:

• The selected candidate must be eligible to hold one of the following active, unrestricted Licenses:
  
  
  • LPCC license issued by the Minnesota Board of Behavioral Health and Therapy (BBHT), OR
    
    
  • LMFT license issued by the Minnesota Board of Marriage and Family Therapy, OR
    
    
  • LICSW license issued by the Minnesota Board of Social Work

• • • Note: If the selected candidate has an active, unrestricted LPCC, LMFT, or LICSW, but isn't licensed in Minnesota, they must be eligible for and obtain the required licensure in Minnesota within six months of accepting an offer.

• Hold a minimum of a master's degree from an accredited college or university in a related field.
• 5+ years of direct clinical work as a mental health professional in a variety of clinical settings.
• Familiarity with medical records structure, terminology, and disease processes.
• Strong clinical assessment capabilities paired with excellent critical thinking.
• Proficient in medical record abstraction.
• Excellent written and verbal communication skills.
• Demonstrated ability to manage deadlines, prioritize tasks, and thrive in a fast-paced environment.
• Highly organized with meticulous attention to detail.

Preferred Qualifications/Experience:

• Proficiency in Microsoft Office 365 applications, including Word, Excel, Outlook, and Teams.

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Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra Health

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. The benefits for this position include prorated Paid Time Off, participation in our 401(k) Plan, and EAP benefits.

Additionally, regular part-time employees are eligible for education assistance, with a maximum benefit per year. This program provides support for tuition and other expenses related to the pursuit of a degree, as well as Continuing Education Unit (CEU) and Continuing Medical Education (CME) courses that are job-related.

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."