Licensed Behavioral Health Clinician

Job Summary

Offering a full-time remote opportunity, the Behavioral Health Utilization Management Clinician (LCSW/LPC/LMFT/RN) will review clinical information for substance abuse services, ensuring compliance with medical necessity criteria during flexible weekend dayshift hours in Virginia and North Carolina.

Key responsibilities

• Review clinical information to determine medical necessity for substance abuse services
• Ensure compliance with contractual, regulatory, and clinical review requirements
• Enter accurate information into the claims system for payment processing

Required qualifications

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