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 Provides education to providers, members, and families regarding the behavioral health utilization process 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 required License to practice independently or state-required licensure Clinical knowledge related to mental health and substance abuse preferred Experience working with healthcare teams in reviewing care 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
Provides education to providers, members, and families regarding the behavioral health utilization process
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 required
License to practice independently or state-required licensure
Clinical knowledge related to mental health and substance abuse preferred
Experience working with healthcare teams in reviewing care services preferred
