Kentucky Licensed Utilization Review Clinician

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 behavioral health services
• Analyzes member data to enhance service quality and provides education on the utilization process

Required Qualifications

• 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
• Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN is required
• Clinical knowledge of treatment plans related to mental health and substance abuse is preferred
• Experience with healthcare teams in reviewing mental health services is preferred