Hawaii Licensed Utilization Review ClinicianVirtualVocations • Rochester, New York, United States
Hawaii Licensed Utilization Review Clinician
VirtualVocations • Rochester, New York, United States
3 days ago
Job type
- Full-time
Job description
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 of behavioral health inpatient services
Provides education to providers and families 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
Current state licensure as a Registered Nurse or other specified behavioral health licenses
Clinical knowledge related to mental health and substance abuse treatment plans preferred
Experience with utilization review processes and working with healthcare teams preferred
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Utilization Review • Rochester, New York, United States
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