Licensed Clinical Care Review Team Lead

Job Summary

A company is looking for a Team Lead, Clinical Care Review - Behavioral Health.

Key Responsibilities

• Oversee day-to-day workflow and performance of Clinical Care Review employees
• Monitor healthcare service delivery and ensure compliance with regulatory standards
• Develop and implement process improvements for cost-effective utilization of care

Required Qualifications, Training, and Education

• Graduate degree in mental health or a Bachelor of Science in Nursing, or equivalent experience
• One year of Utilization Management/Utilization Review experience required
• Preferred minimum of five years clinical experience
• Current, unrestricted license as a Registered Nurse or mental health professional is required
• MCG Certification is preferred