Teams at Lucet

Leads regional clinical operations for behavioral and physical health programs, overseeing care quality, transitions, outcomes, member satisfaction, compliance, audits, performance metrics, and process improvement. Manages and develops clinical teams, supports complex cases, resolves escalated concerns, and collaborates with health plans, providers, clients, and internal stakeholders. The role requires an independently licensed behavioral health professional or registered nurse, substantial post-licensure experience, clinical supervisory leadership, care management expertise, and 10% travel.

Provides integrated care management and utilization management for members with substance use disorders. Conducts clinical assessments, develops care plans, reviews authorization requests, evaluates medical necessity, coordinates referrals and discharge planning, and supports treatment engagement and recovery. The clinician collaborates with members, providers, health plans, and community resources while maintaining compliant documentation and participating in quality improvement.

Provides overnight behavioral health clinical support through telephonic screenings, crisis intervention, utilization review, authorization requests, care coordination, referrals, discharge planning, and member follow-up. Maintains compliant clinical documentation and collaborates with members, families, providers, physician consultants, and internal teams. Requires an independently licensed mental health clinician or registered nurse, at least two years of direct psychiatric or chemical dependency care experience, strong communication skills, and the ability to work remotely in a 24/7 call center environment.