North Carolina Licensed Utilization Review Clinician

Job Summary

A company is looking for a Utilization Review Clinician - Behavioral Health.

Key Responsibilities

• Evaluates treatment for mental health and substance abuse to ensure appropriateness of care
• Conducts prior authorization reviews for medical appropriateness in accordance with guidelines
• Performs concurrent reviews of behavioral health inpatient care and engages with healthcare providers

Required Qualifications, Training, and Education

• 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 in the state of North Carolina
• Clinical knowledge of mental health and substance abuse treatment plans preferred
• Experience working with providers in behavioral health care preferred