Licensed Behavioral Health Clinician

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 to make informed determinations and consult with physician advisors as needed
• Foster collaboration 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 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