Part-Time Clinical Quality Specialist

SonderMind

Part-Time Clinical Quality Specialist at SonderMind ensuring clinical integrity through utilization management and quality assurance. Collaborating with providers and health plans for improved care outcomes.

Posted 7/16/2026part-timeRemote • Colorado • 🇺🇸 United StatesMid-LevelSenior💰 $40 - $42 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in Utilization Management and Clinical Auditing, with a focus on applying Evidence-Based Criteria to assess Medical Necessity and Treatment Appropriateness. Strong ability to collaborate across teams and support Quality Improvement initiatives in Behavioral Health settings.

Highest-signal resume keywords

Utilization ManagementClinical AuditingMedical Necessity ReviewBehavioral Health ExperienceClinical Documentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ReviewEvidence-Based Criteria ApplicationClinical JudgmentQuality ImprovementData Analysis

Soft Skills

CollaborationProvider SupportProblem-Solving

Tools & Technologies

Clinical Technology PlatformsCase Tracking Systems

Certifications & Qualifications

Master’s Degree in Mental Health DisciplineActive Clinical License (LMFT, LPC, LCSW, LMHC)

Industry Keywords

Medical Necessity CriteriaLevel-of-Care GuidelinesPeer-to-Peer ReviewAdverse Events MonitoringQuality Management

About the role

Key responsibilities & impact

Conduct prospective, concurrent, and retrospective utilization reviews to assess medical necessity, treatment appropriateness, and level of care
Apply evidence-based UM criteria to evaluate clinical documentation and support authorization and appeal processes
Monitor care intensity and utilization trends to identify outliers and inform targeted provider interventions
Partner with health plans on external UR requests and peer-to-peer review coordination
Investigate and remediate provider concerns stemming from UM findings, client complaints, or external reports
Monitor clinical adverse events and apply early-stage risk mitigation in partnership with cross-functional teams
Support measurement-based care initiatives and identify opportunities to strengthen clinical outcomes across the provider network
Track utilization metrics, review volumes, and case outcomes to inform quality improvement efforts
Surface trends and process gaps to leadership and contribute to the ongoing refinement of UM policies and workflows

Requirements

What you’ll need

Master’s degree in a mental health discipline.
Active, cleared clinical license (e.g., LMFT, LPC, LCSW, LMHC, or equivalent) in good standing.
Experience in utilization management, utilization review, medical necessity review, or clinical auditing — ideally in a behavioral health or payor/health plan context.
Familiarity with payor requirements, medical necessity criteria, and level-of-care guidelines.
Strong clinical judgment and experience handling escalations, adverse events, or quality-related investigations.
Demonstrated ability to produce clear, accurate, and defensible clinical documentation.
Demonstrated ability to collaborate effectively across multiple teams.
Commitment to provider support and quality management.
Familiarity with clinical technology platforms for documentation, case tracking, and data analysis to support provider quality and compliance.

Benefits

Comp & perks

flexible work arrangements