Licensed Behavioral Health Clinician - job 2 of 26

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
• Performs prior authorization and concurrent reviews related to behavioral health services
• Analyzes member data to enhance service quality and utilization

Required Qualifications, Training, and Education

• Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
• License to practice independently as required by the state
• Master's degree in a Behavioral Health-related field is preferred
• Experience with Utilization Review or Utilization Management in Behavioral Health is preferred
• Direct experience in inpatient behavioral health settings and knowledge of ASAM Criteria is preferred