Nevada Licensed Behavioral Care Clinician

Job Summary

A company is looking for a Behavioral Care Review Clinician (RN).

Key Responsibilities

• Assesses services for members to ensure optimum outcomes and compliance with regulations
• Analyzes clinical service requests against evidence-based clinical guidelines
• Conducts reviews to determine prior authorization and financial responsibility for treatments

Required Qualifications

• At least 2 years of MCG experience
• Behavioral Health Concurrent Review and Prior Authorization experience in an MCO setting
• Must obtain NV RN Licensure within 90 days of hire
• ASAM certification upon hire
• Remote work experience