Remote Behavioral Health Utilization Review Clinician in Boston

Job is Expired
Location: Massachusetts
Compensation: To Be Discussed
Staff Reviewed: Fri, Jan 21, 2022
Job Summary

A healthcare staffing and recruiting firm is in need of a Remote Behavioral Health Utilization Review Clinician in Boston.

Must be able to:

  • Perform telephonic case management
  • Use appropriate screening criteria
  • Perform reviews of services

Required Skills:

  • Master's degree prepared individual with valid and unrestricted state licensure
  • L.M.F.T., L.I.C.S.W., L.M.H.C., PhD or PsyD, or R.N. with behavioral health case management experience
  • 3 years of recent experience in Utilization Review / Utilization Management
  • 2-3 years acute care clinical nursing experience
  • Experience using MCG/Milliman/InterQual criteria for medical necessity
  • 1-2 years at a health plan or other Managed Care Organization
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