Behavioral Health Utilization Reviewer

Job Summary

A company is looking for a Utilization Review Clinician - Behavioral Health.

Key Responsibilities

• Conduct utilization reviews for behavioral health services
• Collaborate with healthcare providers to ensure appropriate care and resource utilization
• Document findings and recommendations in compliance with regulatory standards

Required Qualifications

• Active clinical license in relevant field (e.g., LCSW, LPC, RN)
• Experience in behavioral health or mental health services
• Knowledge of utilization management processes and guidelines
• Ability to work in a remote environment
• Relevant education in nursing, social work, or psychology