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 medical appropriateness
Performs prior authorization reviews and concurrent reviews related to mental health and substance abuse
Analyzes behavioral health member data to improve service quality and utilization
Required Qualifications 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
Active clinical license in Florida
LCSW, LMHC, LPC, LMFT, or LMHP licensure required
Clinical knowledge of mental health and substance abuse treatment plans preferred
Utilization Review Clinician • Kansas City, Kansas, United States