Licensed Clinical Care Reviewer

A company is looking for a Clinical Care Reviewer - Board Certified Behavioral Analyst. Key Responsibilities Process medical necessity reviews for behavioral health care services and assist with discharge planning activities Coordinate care and facilitate timely discharge to appropriate levels of care Document and communicate with health partners to ensure safe discharge planning and care coordination Required Qualifications, Training, and Education Completion of an accredited registered nursing (RN) degree program or Bachelor's Degree in Social Work Minimum of three (3) years of clinical experience Utilization review and/or case management experience preferred Current, unrestricted Registered Nurse (RN) Licensure or Licensed Social Worker (LSW) in state(s) of practice required MCG Certification required or must be obtained within six (6) months of hire

Apr 21, 2025 - 20:29

A company is looking for a Clinical Care Reviewer - Board Certified Behavioral Analyst. Key Responsibilities Process medical necessity reviews for behavioral health care services and assist with discharge planning activities Coordinate care and facilitate timely discharge to appropriate levels of care Document and communicate with health partners to ensure safe discharge planning and care coordination Required Qualifications, Training, and Education Completion of an accredited registered nursing (RN) degree program or Bachelor's Degree in Social Work Minimum of three (3) years of clinical experience Utilization review and/or case management experience preferred Current, unrestricted Registered Nurse (RN) Licensure or Licensed Social Worker (LSW) in state(s) of practice required MCG Certification required or must be obtained within six (6) months of hire