Licensed Clinical Care Reviewer

Job Summary

A company is looking for a Clinical Care Reviewer - Board Certified Behavioral Analyst.

Key Responsibilities

• Process medical necessity reviews for behavioral health care services and assist with discharge planning activities
• Coordinate care and facilitate timely discharge to appropriate levels of care
• Document and communicate with health partners to ensure safe discharge planning and care coordination

Required Qualifications, Training, and Education

• Completion of an accredited registered nursing (RN) degree program or Bachelor's Degree in Social Work
• Minimum of three (3) years of clinical experience
• Utilization review and/or case management experience preferred
• Current, unrestricted Registered Nurse (RN) Licensure or Licensed Social Worker (LSW) in state(s) of practice required
• MCG Certification required or must be obtained within six (6) months of hire