We’re seeking a dedicated Behavioral Health Clinician to join our Utilization Management team. In this role, you’ll collaborate with an interdisciplinary team to review and authorize behavioral health and substance use services, ensuring appropriate care and resource utilization.
Key Responsibilities:Conduct utilization reviews and service authorizations for behavioral health and substance use treatments.Coordinate care for members in crisis, including triage, discharge planning, and aftercare referrals.Review treatment plans and collaborate with Medical Directors on medical necessity.Ensure compliance with state, federal, and contractual guidelines.Serve as a liaison between providers, members, and internal teams.Promote safe transitions of care and optimal resource use.Qualifications:Degree in nursing or behavioral health field.Active Florida license (RN, LCSW, LMSW, LPHA, or LMHC).2+ years in utilization review/case management; 1+ year in acute care discharge planning preferred.5–7 years of clinical experience.Familiarity with InterQual, ASAM, Milliman, CMS, and Florida Medicaid guidelines.Strong communication, critical thinking, and documentation skills.Additional Requirements:Valid Florida driver’s license.Proficiency in EMR systems and Microsoft Office.Ability to work independently and occasionally on weekends.Work Environment
The role offers a hybrid work schedule post-training, with hours from Monday to Friday, 8am-5pm.
Pay and BenefitsThe pay range for this position is $35.00 - $38.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Sunrise,FL.
Application Deadline
This position is anticipated to close on Jul 1, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.