Missouri Licensed Utilization Review Clinician

Job Summary

A company is looking for a Utilization Review Clinician - BH.

Key Responsibilities

• Evaluates member's treatment for mental health and substance abuse to ensure medical appropriateness
• Performs prior authorization and concurrent reviews for behavioral health services
• Analyzes member data to improve service quality and provides education on the utilization process

Required Qualifications

• 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 required by the state
• Clinical knowledge related to mental health and substance abuse treatment plans preferred
• Experience working with providers in mental health and substance abuse care preferred