Minnesota Licensed Clinical Reviewer

A company is looking for a Clinical Reviewer (ASAM). Key Responsibilities Review and interpret patient records against ASAM criteria to determine medical necessity and appropriateness of care Ensure accuracy and timeliness of all review cases within contract requirements Maintain current knowledge of review processes and function as a liaison for provider customer service issues Required Qualifications Active unrestricted LPCC, LMFT, or LICSW in the State of Minnesota Minimum three years of direct clinical work as a mental health professional Minimum of one year of Utilization Review and/or Prior Authorization experience Extensive knowledge of ASAM Criteria and medical record organization Strong clinical assessment and critical thinking skills

Mar 8, 2025 - 00:26

A company is looking for a Clinical Reviewer (ASAM). Key Responsibilities Review and interpret patient records against ASAM criteria to determine medical necessity and appropriateness of care Ensure accuracy and timeliness of all review cases within contract requirements Maintain current knowledge of review processes and function as a liaison for provider customer service issues Required Qualifications Active unrestricted LPCC, LMFT, or LICSW in the State of Minnesota Minimum three years of direct clinical work as a mental health professional Minimum of one year of Utilization Review and/or Prior Authorization experience Extensive knowledge of ASAM Criteria and medical record organization Strong clinical assessment and critical thinking skills