Behavioral Health Utilization Review Clinician - MO Licensed

VirtualVocations
Fontana, California, United States
Full-time
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A company is looking for a Utilization Review Clinician - Behavioral Health to perform clinical reviews and assess care related to mental health and substance abuse.

Key ResponsibilitiesEvaluate member treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization reviews and concurrent reviews for behavioral health servicesProvide education to providers, members, and families regarding the behavioral health utilization processRequired Qualifications, Training, and EducationGraduate of an accredited nursing school or bachelor's degree with 2-4 years of related experienceMaster's degree for behavioral health clinicians requiredLicense to practice independently or state-required licensureClinical knowledge related to mental health and substance abuse treatment plans preferredExperience working with healthcare providers and teams in behavioral health preferred

5 hours ago
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