New York Licensed Behavioral Health Clinician

A company is looking for a Care Review Clinician I. Key Responsibilities Assess services for members to ensure compliance with regulations and optimal outcomes Conduct prior authorization reviews and process requests within required timelines Collaborate with multidisciplinary teams and refer appropriate requests to Medical Directors Required Qualifications Licensed Behavioral Health Practitioner in the US with a minimum of three years of experience in a behavioral health setting At least one year of experience in Utilization Management (UM) Familiarity with Behavioral Health Regulations in New York is preferred Experience with LOCUS/CaLOCUS and LOCADTR criteria Education as a Behavioral Health Clinician (LMSW, LMHC)

Mar 13, 2025 - 17:14

A company is looking for a Care Review Clinician I. Key Responsibilities Assess services for members to ensure compliance with regulations and optimal outcomes Conduct prior authorization reviews and process requests within required timelines Collaborate with multidisciplinary teams and refer appropriate requests to Medical Directors Required Qualifications Licensed Behavioral Health Practitioner in the US with a minimum of three years of experience in a behavioral health setting At least one year of experience in Utilization Management (UM) Familiarity with Behavioral Health Regulations in New York is preferred Experience with LOCUS/CaLOCUS and LOCADTR criteria Education as a Behavioral Health Clinician (LMSW, LMHC)