Licensed Behavioral Health Advocate

Job Summary

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

Key Responsibilities

• Focus on outpatient commercial, Medicaid, and Medicare behavioral health services
• Conduct outpatient reviews to determine appropriate care and assess if member care meets coverage guidelines
• Shape member treatment in partnership with providers to ensure best practices and administer benefits

Required Qualifications

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