TX Licensed Utilization Review Clinician

Job Summary

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

Key Responsibilities

• Evaluates and monitors treatment for mental health and substance abuse to ensure medical appropriateness
• Performs prior authorization and concurrent reviews for behavioral health services
• Engages with healthcare providers and presents cases to improve care quality and efficiency

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 required for behavioral health clinicians
• State licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN required
• Preferred clinical knowledge of mental health and substance abuse treatment plans
• Experience working with healthcare teams in mental health and substance abuse services preferred