Remote Behavioral Health Clinical Care Utilization Management Reviewer

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Fri, May 27, 2022
Job Summary

A managed care organization has a current position open for a Remote Behavioral Health Clinical Care Utilization Management Reviewer.

Core Responsibilities of this position include:

  • Providing access to medical necessity determinations
  • Assisting members with appropriate specialized behavioral health care coordination
  • Reviewing the provider requests for inpatient and outpatient services

Skills and Requirements Include:

  • Registered Nurse
  • LCSW,LMSW,LPC, LMFT
  • Graduate from an accredited institution with an Associate or Bachelor’s
  • Mental Health and/or Substance Use Disorder experience
  • Managed Care and Utilization Management experience
  • 3 to 5 years Behavioral Health experience
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