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 member data to enhance service quality and utilization
Required Qualifications
Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
Master's degree required for behavioral health clinicians
License to practice independently or state-required licensure
Clinical knowledge of treatment plans for mental health and substance abuse preferred
Experience working with healthcare teams in mental health and substance abuse services preferred
Behavioral Health Clinician • Paterson, New Jersey, United States