A company is looking for a Mental Health / Substance Use Utilization Management Clinician to perform utilization review tasks related to mental health and substance use services.
Key ResponsibilitiesReview Service Authorization Requests (SARs) and Treatment Plans for medical necessityFacilitate provider network development by identifying service gaps and providing trainingConduct clinical reviews and case consultations to ensure appropriate service provisionRequired Qualifications, Training, and EducationMaster's degree in a Human Services fieldTwo years of post-degree relevant experience in a clinical settingExperience in a Utilization Management environment in Behavioral HealthcareCurrent, active, unrestricted professional license or certification in North CarolinaKnowledge of mental health and substance use treatment protocols
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