Job Summary
A company is looking for a Behavioral Health Utilization Management Clinician.
Key Responsibilities
- Perform comprehensive utilization management reviews to ensure adherence to medical necessity and policy standards
- Apply clinical expertise and evidence-based criteria for informed determinations, consulting with physician advisors as necessary
- Collaborate with interdisciplinary teams to facilitate seamless transitions of care and resolve issues effectively
Required Qualifications
- Master's Degree in a Behavioral Health Discipline
- 3 years of utilization management or behavioral health care management experience
- 3 years of direct Behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician
- Current and unrestricted clinical license in WA, OR, ID, or UT, with willingness to be licensed in multiple states
- Equivalent combination of education and experience may be considered
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