Florida Licensed Utilization Review Clinician

Job Summary

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

Key Responsibilities

• Evaluates member's treatment for mental health and substance abuse to ensure medical appropriateness
• Performs prior authorization and concurrent reviews for behavioral health services
• Provides education to providers and engages with healthcare teams to improve care quality

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 is required
• Current, active state license (LCSW, LMHC, LPC, LMFT, LMHP, or RN)
• Clinical knowledge related to mental health and substance abuse treatment plans preferred
• Experience working with healthcare teams in behavioral health preferred