Missouri Licensed Utilization Review Clinician

A company is looking for a Utilization Review Clinician - Behavioral Health. Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Performs prior authorization and concurrent reviews related to behavioral health services Analyzes member data to improve service quality and utilization Required Qualifications Graduate of an accredited nursing school or bachelor's degree with 2-4 years of related experience Master's degree for behavioral health clinicians required State-required licensure (LCSW, LMHC, LPC, LMFT, LMHP, or RN) Clinical knowledge related to mental health and substance abuse treatment plans preferred Experience working with healthcare providers in mental health and substance abuse review preferred

Mar 31, 2025 - 21:45
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Missouri Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician - Behavioral Health. Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Performs prior authorization and concurrent reviews related to behavioral health services Analyzes member data to improve service quality and utilization Required Qualifications Graduate of an accredited nursing school or bachelor's degree with 2-4 years of related experience Master's degree for behavioral health clinicians required State-required licensure (LCSW, LMHC, LPC, LMFT, LMHP, or RN) Clinical knowledge related to mental health and substance abuse treatment plans preferred Experience working with healthcare providers in mental health and substance abuse review preferred