California Licensed Utilization Review ClinicianVirtualVocations • Oceanside, California, United States
California Licensed Utilization Review Clinician
VirtualVocations • Oceanside, California, United States
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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 appropriateness of care
Performs prior authorization and concurrent reviews related to mental health and substance abuse
Analyzes behavioral health data to enhance service quality and utilization
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
Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN is required
Clinical knowledge of mental health and substance abuse treatment plans is preferred
Experience working with healthcare providers in mental health services is preferred
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Licensed Utilization • Oceanside, California, United States
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