Clinical Care Reviewer (Remote)

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted and we are dedicated to treating the whole person not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

Rula is a remote-first company. We currently hire in most U.S. states with the exception of Hawaii.

About the Role

We are seeking a Clinical Care Reviewer to support Rula’s Clinical Quality team by reviewing clinical documentation and treatment trajectory to ensure care meets medical necessity standards. In this role you will synthesize clinical documentation medical record information and outcomes data to make recommendations on next steps in care and provide data-driven feedback to providers. You will partner cross-functionally to support high-quality clinically appropriate care across our network. This role is ideal for a licensed clinician who enjoys applying their expertise to improve care at both the individual patient and population level.

Required Qualifications

• Master’s degree and active unencumbered clinical license (LCSW LMFT LPC or equivalent)

• 3+ years of post-licensure experience in behavioral health

• Expertise reviewing clinical documentation and applying medical necessity criteria

• Strong knowledge of behavioral health treatment planning progression and appropriate care episode duration

• Excellent written communication and ability to clearly convey clinical findings and recommendations to clinical and non-clinical audiences

• Proficiency working with EHRs and digital tools (e.g. Google Workspace Salesforce)

Preferred Qualifications

While having the preferred qualifications enhances your candidacy having all of them is not mandatory. We encourage all interested applicants to apply even those who may not meet every preferred requirement.

• Experience in utilization management peer review or clinical quality roles

• Experience working with or for health plans or managed care organizations (e.g. Kaiser Permanente)

• 1+ years of experience in a high-growth and/or start-up environment

• Hands on proficiency working with data (e.g. outcomes measures utilization trends) to inform clinical decisions

• Deep experience with process improvement and building scalable clinical workflows

• Comfort using or openness to using AI tools to improve operational efficiency and support clinical review workflows at scale

We're serious about your well-being! As part of our team full-time employees receive:

• 100% remote work environment: Working hours to support a healthy work-life balance ensuring you can meet both professional and personal commitments (must be based in United States currently not hiring in Hawaii)

• Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States

• Comprehensive health benefits: Medical dental vision life disability and FSA/HSA

• 401(k) plan access: Start saving for your future

• Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)

• Paid parental leave: Available for all parents including birthing non-birthing adopting and fostering

• Employee Assistance Program (EAP): Support for your mental and physical health

• New hire home office stipend: Set up your workspace for success

• Quarterly department stipend: Fun team-building activities or in-person gatherings

• Wellness events and lunch & learns: Explore a variety of engaging topics

• Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences fostering a sense of community and belonging for all

Our team

We believe that diversity equity and inclusion are fundamental to our mission of making mental healthcare work for everyone.  We are dedicated to having a culture of inclusion that will support our employees in feeling safe seen heard and valued.

What We Do

We believe that when access to quality mental healthcare improves patients providers and payers all benefit. And that’s why we’re on a mission to make mental healthcare work for everyone. We remove barriers and strengthen connection points between patients providers and payers to improve mental health outcomes. With Rula it’s easy for patients to find a high-quality therapist or psychiatric practitioner who meets their unique needs accepts insurance and is taking new patients. For providers Rula offers the flexibility of private practice while also filling caseloads and offering the necessary behind-the-scenes support. Rula handles the marketing credentialing billing and admin tasks so providers can focus on what they do best: providing care to those in need. Rula is a remote-first company with teams who specialize in the areas of Clinical Partnerships Operations Marketing Engineering Product and more. We’re committed to reimagining how mental health is treated.

Why Work With Us

As a remote company we're intentional about the culture we're building. We write things down we communicate clearly we follow-up and we follow-through. We have high expectations for our team and empower individuals with a high degree of trust and autonomy. In turn we expect that individuals operate with a sense of ownership in everything.

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