Behavioral Health Utilization Review RN

A company is looking for a Utilization Review Clinician - BH. Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure appropriateness of care Performs prior authorization reviews and concurrent reviews for behavioral health services Analyzes behavioral health data to enhance service quality and utilization 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 State licensure as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, Marriage and Family Therapist, or Registered Nurse is required Clinical knowledge related to mental health and substance abuse treatment plans is preferred Experience working with healthcare providers in behavioral health is preferred

May 22, 2025 - 20:40

A company is looking for a Utilization Review Clinician - BH. Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure appropriateness of care Performs prior authorization reviews and concurrent reviews for behavioral health services Analyzes behavioral health data to enhance service quality and utilization 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 State licensure as a Clinical Social Worker, Mental Health Counselor, Professional Counselor, Marriage and Family Therapist, or Registered Nurse is required Clinical knowledge related to mental health and substance abuse treatment plans is preferred Experience working with healthcare providers in behavioral health is preferred