Job Summary
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
- Evaluates treatment for mental health and substance abuse to ensure medical appropriateness
- Performs prior authorization reviews and concurrent reviews for behavioral health services
- Analyzes member data to enhance service quality and utilization
Required Qualifications, Training, and Education
- Graduate of an accredited nursing school or Bachelor's degree with 2-4 years of related experience
- Master's degree for behavioral health clinicians required
- License to practice independently as per state requirements
- Clinical knowledge related to mental health and substance abuse preferred
- AZ Professional Licensure required (LCSW, LMHC, LPC, LMFT, LMHP, or RN)
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