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Georgia Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician - Behavioral Health. Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure medical appropriateness Performs prior authorization and concurrent reviews related to mental health and substance abuse Analyzes behavioral health member data to enhance service quality and utilization 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 Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN required (Georgia License mandatory) Clinical knowledge of treatment plans related to mental health and substance abuse preferred Experience working with healthcare teams in mental health and substance abuse services preferred
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
Evaluates member's treatment for mental health and substance abuse to ensure medical appropriateness
Performs prior authorization and concurrent reviews related to mental health and substance abuse
Analyzes behavioral health member data to enhance service quality and utilization
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
Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN required (Georgia License mandatory)
Clinical knowledge of treatment plans related to mental health and substance abuse preferred
Experience working with healthcare teams in mental health and substance abuse services preferred
