Wisconsin Licensed Behavioral Health Specialist

Job Summary

To support behavioral health services, the full-time Wisconsin Licensed Behavioral Health Specialist will adjudicate prior authorizations based on medical necessity and eligibility, focusing on Substance Use Disorder Treatment, Child and Adolescent Day Treatment, and Adult Mental Health Day Treatment, while working remotely.

Key responsibilities

• Review and evaluate prior authorization submissions using multiple computer systems and seek additional information from providers as needed
• Enter prior authorization outcomes into the Medicaid Management Information System (MMIS) for processing
• Participate in monthly meetings with leadership, operational staff, clinical peers, and State of Wisconsin stakeholders

Required qualifications

• Master's degree in counseling, social work, marriage and family therapy, or equivalent
• Minimum of 5 years clinical work experience
• Current LPC, LCSW, or LMFT license in the state of WI, or ability to obtain prior to position start date
• CSAC or SAC license in the state of WI (CSAC preferred)
• Knowledge of and/or experience with the Wisconsin Medicaid program is desired