Licensed Behavioral Health Clinician

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 appropriateness of care
• Performs prior authorization and concurrent reviews for behavioral health inpatient services
• Analyzes member data to enhance quality and utilization of behavioral health services

Required Qualifications

• 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
• License to practice independently or state-required licensure
• Preferred clinical knowledge of mental health and substance abuse treatment plans
• Experience working with healthcare providers in behavioral health settings preferred