Licensed Behavioral Health Clinician

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

Key Responsibilities

Evaluates treatment for mental health and substance abuse to ensure medical appropriateness

Performs prior authorization reviews and concurrent reviews for behavioral health services

Analyzes member data to improve service quality and engages with healthcare providers regarding care levels

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

Independent clinical licensure (LCSW, LMHC, LPC, LMFT, LMHP, or RN) required

Clinical knowledge of mental health and substance abuse treatment plans preferred

Experience working with healthcare teams in mental health and substance abuse settings preferred