HNE Behavioral Health Utilization Management Reviewer
Remote Work Opportunityremote$90K – $103K
Posted today · via Workday
About this role
At Health New England, we're committed to ensuring our members receive timely, appropriate, and compassionate behavioral health services. As a Behavioral Health Utilization Management Reviewer , you'll play a vital role in ensuring our members are in the appropriate behavioral health level of care while helping providers understand the available resources across the continuum of care. In this collaborative role, you'll partner with providers, physicians, care managers, and community resources to review medical necessity, coordinate care, and support positive clinical, functional, and psychosocial outcomes for our members.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: teams
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
teams
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