Clinician, Clinical Response

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