Kentucky Licensed Behavioral Health Advocate - job 2 of 3

Job Summary

A company is looking for a Behavioral Health Care Advocate - Utilization Review, Outpatient - Remote.

Key Responsibilities

• Focus on outpatient commercial, Medicaid, and Medicare behavioral health services
• Conduct outpatient reviews to determine appropriate care and assess if member care meets coverage guidelines
• Shape member treatment in partnership with providers and administer benefits while reviewing treatment plans

Required Qualifications

• Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling, or Marriage and Family Counseling, or an RN with 2+ years of experience in behavioral health
• Active, unrestricted licensure in the state of residence
• 2+ years of experience in a behavioral health setting
• Outpatient psychotherapy and community-based treatment experience
• Proven MS Office proficiency (Word, Excel, Outlook, Internet)