Licensed Behavioral Health Clinician

Job Summary

Offering a flexible weekend dayshift, the full-time Licensed Behavioral Health Clinician will manage clinical reviews for substance abuse services remotely from Virginia or North Carolina, ensuring compliance with medical necessity criteria and regulatory requirements.

Key responsibilities

• Review clinical information to determine medical necessity for authorizing substance abuse services
• Ensure accurate data entry into claims systems for payment processing
• Maintain knowledge of compliance requirements for various payer types

Required qualifications

• Master's degree in Counseling, Social Work, or Marriage and Family Therapy, or a Bachelor of Science in Nursing
• Valid state license as LCSW, LPC, LMFT, RN, or equivalent in Virginia or North Carolina
• At least 2 years of experience in behavioral health
• Minimum of 1 year of case management experience
• Preferred experience in substance abuse and utilization management