Licensed Behavioral Health Advocate

Job Summary

A company is looking for a Behavioral Health Care Advocate - Utilization Review, Outpatient - Remote.

Key Responsibilities

• Conduct telephonic clinical reviews with providers to ensure effective outpatient behavioral health services
• Assess member care to determine adherence to coverage guidelines and best practices
• Administer benefits and review treatment plans in collaboration with providers

Required Qualifications

• Active, unrestricted Independent Level Clinician licensure in Psychology, Social Work, Counseling, Marriage or Family Counseling, or RN with 2+ years in behavioral health
• Active, unrestricted licensure in the state of residence
• 2+ years of experience in a behavioral health setting
• Experience in outpatient psychotherapy and community-based treatment
• Proven proficiency in MS Office (Word, Excel, Outlook, Internet)