A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
Evaluate member treatment for mental health and substance abuse to ensure medical appropriateness
Perform prior authorization reviews and concurrent reviews related to behavioral health inpatient care
Provide education to providers and families 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 required
License to practice independently or state-required licensure
LCSW, LMHC, LPC, LMFT, LMHP, or RN licensure required
Preferred experience in mental health and substance abuse utilization review processes
Utilization Review • Pueblo, Colorado, United States