Licensed Behavioral Health Clinician - job 1 of 27

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 mental health and substance abuse
• Analyzes member data to enhance quality and utilization of services

Required Qualifications

• Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
• Master's degree for behavioral health clinicians required
• License to practice independently or state-required licensure
• Clinical knowledge of treatment plans related to mental health and substance abuse preferred
• Experience working with providers and healthcare teams in behavioral health preferred