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 and concurrent reviews related to behavioral health services

Analyzes member data and provides education regarding behavioral health utilization processes

Required Qualifications, Training, and Education

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 is required

License to practice independently or state-required licensure is necessary

Preferred clinical knowledge of mental health and substance abuse treatment plans

Experience working with healthcare teams in behavioral health is preferred