Virginia Licensed Behavioral Health Clinician

A company is looking for a Behavioral Health Utilization Management Clinician. Key Responsibilities Review clinical information to ensure it meets Medical Necessity Criteria for service authorization Maintain knowledge of medical necessity criteria, clinical protocols, and compliance requirements Ensure accurate information is entered into the claims system for payment processing Required Qualifications, Training, and Education Bachelor of Science in Nursing, Masters of Counseling, or Masters of Social Work required LCSW, LPC, or RN current license for the state of Virginia required 2 years of clinical experience required 2 years of experience in behavioral health and 1 year in care coordination or transitions of care required Experience in substance abuse and utilization management required

Jun 12, 2025 - 20:00

A company is looking for a Behavioral Health Utilization Management Clinician. Key Responsibilities Review clinical information to ensure it meets Medical Necessity Criteria for service authorization Maintain knowledge of medical necessity criteria, clinical protocols, and compliance requirements Ensure accurate information is entered into the claims system for payment processing Required Qualifications, Training, and Education Bachelor of Science in Nursing, Masters of Counseling, or Masters of Social Work required LCSW, LPC, or RN current license for the state of Virginia required 2 years of clinical experience required 2 years of experience in behavioral health and 1 year in care coordination or transitions of care required Experience in substance abuse and utilization management required