Job Summary
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
- Evaluates treatment for mental health and substance abuse to ensure medical appropriateness
- Performs prior authorization reviews for mental health and substance abuse services
- Conducts concurrent reviews of behavioral health inpatient cases for treatment needs and discharge planning
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 is required
- Active state clinical license (LCSW, LMHC, LPC, LMFT, LMHP, or RN)
- Clinical knowledge of treatment plans related to mental health and substance abuse preferred
- Experience working with healthcare teams in behavioral health preferred
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