Behavioral Health Clinician (WA, OR, ID, UT)

Job Summary

A company is looking for a Behavioral Health Utilization Management Clinician.

Key Responsibilities

• Perform comprehensive utilization management reviews to ensure adherence to medical necessity and policy standards
• Apply clinical expertise and evidence-based criteria for informed determinations, consulting with physician advisors as necessary
• Foster collaboration with interdisciplinary teams to facilitate seamless transitions of care and resolve issues effectively

Required Qualifications

• Master's Degree in Behavioral Health Discipline
• 3 years of utilization management or behavioral health care management experience
• 3 years direct Behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician
• Clinical License must be unrestricted and current in the state of residence, with willingness to be licensed in multiple states
• Equivalent combination of education and experience may be considered