Job Details

A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluates member's treatment for mental health and substance abuse to ensure medical appropriatenessPerforms prior authorization reviews and concurrent reviews of behavioral health inpatient careProvides education regarding behavioral health utilization processes and interacts with healthcare providersRequired Qualifications, Training, and EducationGraduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experienceMaster's degree for behavioral health clinicians requiredLicense to practice independently as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, or similarClinical knowledge related to mental health and substance abuse treatment plans preferredExperience working with healthcare teams on mental health and substance abuse services preferred