Virginia Licensed Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer of behavioral health.

Key Responsibilities

• Ensure accuracy and timeliness of review cases within contract requirements
• Assess and adjust daily workload and queues to meet departmental demands
• Maintain knowledge of review processes and serve as a liaison for customer service issues

Required Qualifications

• Active unrestricted license as LPN, RN, or LMHP in Virginia or compact license
• Bachelor's Degree in a related field (Master's preferred)
• 1+ years of experience in utilization management
• 1+ years of experience in behavioral health