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
Behavioral Health Clinician • Newport News, Virginia, United States