Licensed Behavioral Health Clinician

Job Summary

A company is looking for a Utilization Review Clinician - Behavioral Health.

Key Responsibilities

• Evaluates member's treatment for mental health and substance abuse to ensure medical appropriateness
• Performs prior authorization and concurrent reviews related to mental health and substance abuse
• Provides education to providers and members 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 is required
• License to practice independently or state-required licensure is necessary
• Clinical knowledge of treatment plans related to mental health and substance abuse is preferred
• Experience working with healthcare teams in mental health and substance abuse care is preferred