Date Posted: 09/21/2026
Hiring Organization: Rose International
Position Number: 507804
Industry: Pharmaceutical/Healthcare
Job Title: Behavioral Health Utilization Management Clinical Consultant
Job Location: Remote, USA
Work Model: Remote (Arizona)
Shift: Monday to Friday 8:00 AM to 5:00 PM Arizona time
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 6
Min Hourly Rate($): 35.00
Max Hourly Rate($): 37.00
Must Have Skills/Attributes: Behavioral Health, Problem Management, Records Analyst, Utilization Management
Experience Desired: Behavioral Health Utilization Management experience (3+ yrs); Experience reviewing clinical records and making medical necessity determinations (3+ yrs); Strong clinical assessment and critical thinking skills (3+ yrs); Concurrent review and discharge planning experience (3+ yrs)
Required Minimum Education: Master’s Degree
Required Certifications/Licenses: Active Arizona LCSW, LPC, LMFT license OR Active unrestricted RN license with Behavioral Health exp
**C2C is not available**
Job Description
Required Education
• Master’s degree
• Associate’s degree required for RN applicants.
Required Certifications
• Active Arizona LCSW (Licensed Clinical Social Worker), LPC (Licensed Professional Counselor), or LMFT (Licensed Marriage and Family Therapist)
OR
• Active RN license with Behavioral Health experience (Compact License accepted where applicable), license must be active and unrestricted
Required Qualifications / Skills / Experience
• Behavioral Health Utilization Management experience
• Experience reviewing clinical records and making medical necessity determinations
• Concurrent review and discharge planning experience
• Strong clinical assessment and critical thinking skills
• Experience coordinating care with providers and interdisciplinary teams
• Knowledge of behavioral health terminology and clinical documentation
• Strong written and verbal communication skills
• Experience working with community behavioral health resources
• Ability to handle confidential information appropriately
• Strong organizational and documentation skills
Preferred Qualifications / Skills / Experience
• Experience using InterQual, MCG, ASAM, LOCUS, or similar medical necessity criteria
• Medicaid managed care experience
• Experience with adult and child/adolescent populations
• Crisis intervention and triage experience
• Experience supporting quality improvement initiatives
Behavioral Health Utilization Management Clinical Consultant Overview
• Remote Utilization Management role supporting behavioral health members across the continuum of care
• Reviews clinical information and applies medical necessity criteria, clinical guidelines, policies, and professional judgment to determine appropriate levels of care
• Conducts concurrent reviews, discharge planning activities, and utilization management reviews
• Partners with healthcare providers, care teams, and community resources to promote quality, cost-effective outcomes
• Identifies opportunities for care management referrals and continuity of care support
• Supports members with behavioral health needs through clinical review, coordination, and evidence-based decision making
• Maintains accurate documentation and prepares reports related to utilization management activities and outcomes
• Works in a highly collaborative environment while maintaining productivity and regulatory compliance standards
Job Duties
• Review behavioral health clinical information and determine medical necessity
• Conduct concurrent reviews and discharge planning activities
• Apply clinical guidelines, policies, and utilization management criteria
• Analyze medical records and clinical documentation
• Coordinate care with providers, members, and interdisciplinary teams
• Facilitate referrals to care management programs and community resources
• Support continuity of care and transitions between levels of care
• Provide clinical interventions, triage support, and crisis coordination as needed
• Identify opportunities to improve quality outcomes and resource utilization
• Educate providers on utilization management processes and documentation requirements
• Maintain accurate clinical documentation and reports
• Track utilization management outcomes and key performance indicators
• Participate in quality improvement initiatives
• Ensure compliance with organizational, state, and federal requirements
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Your team at Rose International is always very helpful and responsive.
Barbara, Consultant
Thanks for the opportunity. If in the future I ever need a job, I would like to work for Rose International.
David, Consultant
Rose International has been great to me. I thank everyone there for all of their hard work; it has not gone unnoticed.
Melody, Consultant
Rose International maintained good communication during assignments and are very informative through email and phone calls.
Sade, Consultant
You are customer service oriented. No matter whether it was the Recruiter or someone in Human Resources/Payroll, you were responsive. That to me is key!
Tonya, Consultant
EMPLOYEE COMMENTS