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 reviews and concurrent reviews of behavioral health inpatient care
• Provides education on behavioral health utilization processes to providers, members, and families

Required Qualifications, Training, and Education

• Graduate of an accredited nursing school or a Bachelor's degree with 2-4 years of related experience
• Master's degree required for behavioral health clinicians
• License to practice independently as a clinical social worker, mental health counselor, or other relevant licensure
• Preferred clinical knowledge of mental health and substance abuse treatment plans
• Experience working with healthcare providers in behavioral health services review preferred