Licensed Behavioral Health Clinician

Job Summary

A company is looking for a Utilization Review Clinician - Behavioral Health.

Key Responsibilities

• Evaluates 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 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 required
• License to practice independently as per state requirements
• Preferred clinical knowledge of mental health and substance abuse treatment plans
• Experience with providers and healthcare teams in behavioral health services preferred