Licensed Behavioral Health 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 medically appropriate care
• Performs prior authorization and concurrent reviews related to mental health and substance abuse
• Analyzes behavioral health data to improve service quality and utilization

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 required
• License to practice independently as required by state regulations
• Clinical knowledge of treatment plans for mental health and substance abuse preferred
• Experience working with providers and healthcare teams in behavioral health preferred