Illinois Licensed Utilization Review Clinician
Location: Remote
Compensation: Hourly
Reviewed: Wed, Jul 02, 2025
This job expires in: 24 days
Job Summary
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 and concurrent reviews related to mental health and substance abuse
- Analyzes behavioral health data to enhance service quality and utilization
Required Qualifications, Training, 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 is required
- License to practice independently as outlined by state requirements
- Clinical knowledge of mental health and substance abuse treatment plans preferred
- Experience working with healthcare teams in mental health and substance abuse settings preferred
COMPLETE JOB DESCRIPTION
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