Job Summary
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
- Evaluate member's treatment for mental health and substance abuse to ensure appropriateness of care
- Perform prior authorization and concurrent reviews related to mental health and substance abuse
- Provide education to providers and members regarding behavioral health utilization processes
Required Qualifications, Training, and Education
- Graduate of an Accredited School of Nursing 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
- Experience working with healthcare teams in behavioral health preferred
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