Clinician, Clinical Operations - SUD

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 live 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 $70,000-$80,000, 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 Function The Substance Use Disorder (SUD) Clinical Ops Clinician provides integrated care management and utilization management services to support members with substance use disorders across the continuum of care. This role conducts clinical assessments, develops individualized care plans, promotes member engagement and recovery, reviews and processes authorization requests, evaluates medical necessity, facilitates discharge planning, and coordinates referrals to appropriate levels of care and community resources. Care Management, Utilization Management, & Clinical Review Conducts comprehensive clinical assessments, utilization reviews, care planning, and care coordination activities to support appropriate levels of care, recovery-focused treatment, and positive member outcomes Member, Provider & Community Engagement Partners with members, providers, health plans, and community resources to promote treatment engagement, address barriers to care, and support recovery through education, advocacy, and coordinated interventions. Compliance, Documentation & Professional Development Ensures regulatory compliance through accurate clinical documentation, effective use of care management systems, participation in quality improvement initiatives, and ongoing development of clinical and industry expertise. Who You Are Required Qualifications Current, active, and unrestricted state license issued by a state or territory of the United States to practice independently with a legal scope of practice that permits independent assessments: 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. 2+ years of direct clinical care experience in substance use disorder treatment, care management, utilization management, or a related setting Demonstrated knowledge of substance use disorders, co-occurring mental health conditions, SUD treatment modalities, and recovery principles. Knowledge of ASAM Criteria and application of level of care determinations for substance use disorder treatment. Excellent verbal and written communication and interpersonal skills Strong computer and keyboarding skills (Microsoft Office Suite), including the ability to document while simultaneously while 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 and the ability to assume a role in ensuring that all objectives are met Ability to work independently to meet case load requirements and team objectives/goals Proven interest in professional development through specialization, certification, and/or advanced degree 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.