Arkansas Licensed Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer - Arkansas Behavioral Health License - Full-time (Remote with Arkansas Licensure).

Key Responsibilities

• Review medical records against criteria and contract requirements for prior authorization and quality reviews
• Collaborate with clinical leadership to monitor provider trends and recommend policies and procedures
• Serve as a resource for Behavioral Health providers and assist in program-specific education and training

Required Qualifications

• Active, unrestricted Arkansas Independent licensure in Social Work, Counseling, or Psychology
• Master's degree in a related field from an accredited college or university
• 2+ years of experience in a behavioral health setting, conducting utilization reviews or case management
• Strong knowledge of medical, psychiatric, and psychological terminology and mental health assessment tools
• Familiarity with government-funded behavioral health programs and their policies