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 for behavioral health services
Provides education to providers and members regarding the behavioral health utilization process
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 as a clinical social worker, mental health counselor, or professional counselor is required
Clinical knowledge related to mental health and substance abuse treatment plans is preferred
Experience working with healthcare teams in behavioral health is preferred
Behavioral Health Clinician • Syracuse, New York, United States