Licensed Behavioral Health Clinician

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 medical appropriateness
• Perform prior authorization and concurrent reviews related to behavioral health services
• Provide education to providers, members, and families 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 outlined by state requirements
• Clinical knowledge and ability to review treatment plans related to mental health and substance abuse preferred
• Experience working with healthcare teams in behavioral health settings preferred