Behavioral Health UM BR Coordinator

Job Summary

A company is looking for a Behavioral/Mental Health UM/BR Coordinator, Case Management.

Key Responsibilities:

• Conduct utilization and benefit reviews based on clinical guidelines
• Coordinate patient discharge planning and treatment history assessments
• Participate in Quality Management program and attend team meetings

Required Qualifications:

• Nursing degree from an accredited institution
• 1+ years of experience in Utilization Review or Case Management
• Experience with MCG and NCCN guidelines preferred
• Active unrestricted Registered Nurse License in eNLC compact state
• Willingness to obtain and maintain additional licenses as required