Job Summary
A company is looking for a Behavioral Care Advocate - Outpatient Utilization Review.
Key Responsibilities
- Focus on outpatient commercial, Medicaid, and Medicare behavioral health services
- Conduct outpatient reviews to determine appropriate care and assess if member care meets coverage guidelines
- Shape member treatment in partnership with providers and administer benefits while reviewing treatment plans
Required Qualifications
- Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling, or Marriage and Family Counseling, or an RN with 2+ years of experience in behavioral health
- Active, unrestricted licensure
- 2+ years of experience in a behavioral health setting
- Outpatient psychotherapy and community-based treatment experience
- Proven MS Office proficiency (Word, Excel, Outlook, Internet)
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