Licensed Behavioral Health Clinician - job 1 of 15

Job Summary

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

Key Responsibilities

• Perform clinical reviews and assess care related to mental health and substance abuse
• Manage complex prior authorization and concurrent reviews to ensure medical appropriateness of services
• Identify quality of care issues and collaborate with healthcare providers to improve service delivery

Required Qualifications

• Bachelor's degree and 4 - 6 years of related experience
• License to practice independently as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, or Licensed Mental Health Professional
• Experience in behavioral health utilization review processes
• Ability to engage with medical directors and leadership for quality improvement
• Experience in training and mentoring new hires as a subject matter expert