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 medical appropriateness
• Performs prior authorization reviews and concurrent reviews for behavioral health inpatient services
• Analyzes member data to improve service quality and provides education on the utilization process

Required Qualifications and Education

• Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
• Master's degree required for behavioral health clinicians
• License to practice independently as required by state regulations
• Clinical knowledge of mental health and substance abuse treatment plans preferred
• Experience with healthcare providers in reviewing mental health and substance abuse services preferred