Licensed Behavioral Health Clinician

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 and concurrent reviews related to behavioral health services

Analyzes member 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 required

License to practice independently as required by state regulations

Clinical knowledge of treatment plans related to mental health and substance abuse preferred

Experience working with healthcare teams in mental health and substance abuse care preferred