Clinician, CCR

Posted 7 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
73K-83K Annually
Junior
Healthtech
The Role
Perform behavioral health utilization management through clinical review and medical necessity determinations, coordinate care and discharge planning with members and providers, maintain compliant clinical documentation, manage caseloads, and support quality and operational efficiency within health plan requirements.
Summary Generated by Built In

Who We Are

At Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and innovative technology to support healthier, more fulfilling lives.

As part of the Lucet team, employees join a mission-driven organization committed to making a lasting impact. Whether through behavioral health navigation, in-home medical care, or 24/7 crisis support, our work is rooted in empathy, collaboration, and a shared passion for helping people thrive.

Why Join our Team

At Lucet, we’re committed to creating a workplace where top talent thrives both personally and professionally. We offer a dynamic, mission-driven environment where your work has real impact, your unique background and experience are valued, and no two days are alike. If you’re passionate about meaningful work and delivering impactful results, we encourage you to apply!

We support our team with a competitive compensation and benefits package, including:

  • Annual compensation between $73,000-$83,000, PLUS an annual performance-based, discretionary incentive.
    • Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
  • Comprehensive health benefit options: Medical, dental, and vision coverage
  • 401(k) with competitive employer match
  • Company-paid life and disability insurance
  • Paid parental leave and wellbeing incentives
  • Generous paid time off, including volunteer time
  • Flexible spending accounts for healthcare and dependent care
  • Professional development opportunities and tuition reimbursement
  • Remote work flexibility (role-dependent)
  • Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.

At Lucet, your work will directly support our mission to improve behavioral, physical, and social health—one member at a time.


What You Will Do - Essential Functions

The Clinician, CCR delivers behavioral health utilization management by conducting clinical reviews, coordinating care, and partnering with providers and internal teams to ensure medically appropriate treatment, effective discharge planning, and positive member outcomes.
 
  • Clinical Review & Medical Necessity Determination
    • Conduct clinical reviews across all levels of behavioral health care and apply medical necessity criteria to treatment decisions
    • Utilize clinical judgment, evidence-based practices, and peer review processes to recommend appropriate levels of care
  • Care Coordination & Member Support
    • Collaborate with members, families, providers, and internal teams to coordinate care and ensure access to appropriate services and resources
    • Support discharge planning and continuity of care, including referrals, follow-ups, and connection to community or outpatient services
  •  Documentation, Compliance & Operational Excellence
    • Maintain accurate clinical documentation and adhere to health plan requirements, regulatory standards, and utilization management processes
    • Contribute to quality outcomes by managing caseloads, participating in clinical rounds, and supporting efficient service delivery within established guidelines

Who You Are

  • Required Qualifications
    • Has a current, unrestricted license issued by a state or territory of the United States to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse in the state in which the business operation is located and/or other states as required by law, regulation, or contract. 
    • Minimum of two years of direct clinical care experience with patients in facility based and/or outpatient psychiatric or chemical dependency treatment.
    • Excellent verbal and written communication and interpersonal skills, strong computer and keyboarding skills including the ability to document while simultaneously taking information over the phone.
    • Ability to comprehend medical policy and criteria to clearly articulate health information.
    • Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen. 

    Living our Values:

      • Serving everyone with compassion and leading with empathy.
      • Stepping up and creating value by taking charge and acting when there is an opportunity.
      • Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
      • Nurturing growth and belonging by respecting and celebrating everyone for who they are.

    Competencies:

      • Self-motivated with excellent organizational skills.
      • Ability to multitask and manage multiple priorities in a fast-paced, changing environment.
      • Ability to work independently to meet caseload requirements.
      • Ability to work within a collaborative, team-oriented environment.
      • Ability to remain resilient and optimistic in the face of problems and challenges.
         

    Working Conditions:

      • High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.
      • Frequent use of computer and phone systems
      • Must be able to constantly remain in a stationary, sitting position, communicate and exchange information with others, inspect information, perform repetitive motions with arms and fingers, interpret data, problem solve, make decisions, organize and plan, and maintain a positive and professional attitude in all situations.
      • Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
      • A quiet workspace with minimal background noise for calls.
      • This role requires working from a fixed, designated workspace in your home and does not allow flexibility in work locations even within the home.
      • A hardwired internet connection is required along with ability to sit for extended periods using company-issued wired headsets and desktop equipment. 

      We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health.

      This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.

      Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
      This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

      Skills Required

      • Current, unrestricted U.S. state or territory license to practice independently as a clinical social worker, marriage and family therapist, professional counselor, clinical psychologist, or registered nurse.
      • Minimum of two years direct clinical care experience in facility-based and/or outpatient psychiatric or chemical dependency treatment.
      • Excellent verbal and written communication and interpersonal skills; strong computer and keyboarding skills; ability to document while taking information by phone.
      • Ability to comprehend medical policy and criteria and clearly articulate health information.
      • Ability to pass extensive background checks (criminal, employment, education, sanctions, OFAC, sex offender registries) and a 10-panel drug screen.
      • High-speed internet (minimum 20 Mbps download, 5 Mbps upload, max latency 100 ms) installed before start; hardwired connection required.
      • Work from home with a fixed, designated quiet workspace; use company-issued wired headsets and desktop equipment; able to sit for extended periods and type.
      • Self-motivated with excellent organizational skills; ability to multitask, manage multiple priorities, and meet caseload requirements independently and in a team.
      Am I A Good Fit?
      beta
      Get Personalized Job Insights.
      Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

      The Company
      HQ: Kansas City, MO
      748 Employees

      What We Do

      Lucet is transforming health care by combining advanced technology with compassionate, whole health care. We deliver integrated behavioral health and medical services making care more connected, accessible and personalized than ever before. Powered by next-generation platforms and real-time data, our model ensures seamless coordination between people, providers and support teams. From in-home visits to behavioral health care navigation, we tailor every experience to meet every individual’s unique health journey. To learn more, visit LucetHealth.com.

      Similar Jobs

      Samsara Logo Samsara

      Support Engineer

      Artificial Intelligence • Cloud • Computer Vision • Hardware • Internet of Things • Software
      Easy Apply
      Remote or Hybrid
      United States
      4000 Employees
      90K-121K Annually

      ChowNow Logo ChowNow

      Sales Manager

      Food • Software
      Easy Apply
      Remote or Hybrid
      St. Petersburg, FL, USA
      208 Employees
      120K-140K Annually

      ChowNow Logo ChowNow

      Sales Manager

      Food • Software
      Easy Apply
      Remote or Hybrid
      Louisville, KY, USA
      208 Employees
      120K-140K Annually

      ChowNow Logo ChowNow

      Sales Manager

      Food • Software
      Easy Apply
      Remote or Hybrid
      Tampa, FL, USA
      208 Employees
      120K-140K Annually

      Similar Companies Hiring

      Camber Thumbnail
      Fintech • Healthtech • Social Impact
      New York, New York
      90 Employees
      Sailor Health Thumbnail
      Healthtech • Social Impact • Telehealth
      New York City, NY
      20 Employees
      Granted Thumbnail
      Mobile • Insurance • Healthtech • Financial Services • Artificial Intelligence
      New York, New York
      23 Employees

      Sign up now Access later

      Create Free Account

      Please log in or sign up to report this job.

      Create Free Account