Virginia Licensed Behavioral Health Professional

A company is looking for a Utilization Management Behavioral Health Professional. Key Responsibilities Utilize behavioral health knowledge to support coordination and documentation of medical services and benefit determinations Interpret criteria and policies to provide appropriate treatment and care for members Coordinate communication with providers and members to facilitate optimal care and treatment Required Qualifications Active unrestricted registered nurse license or relevant behavioral health license in Virginia Minimum one year of post-degree clinical experience in a patient care setting Minimum one year of managed care experience Intermediate to advanced knowledge of Microsoft Office and ability to troubleshoot technical issues Ability to work independently and as part of a team

Mar 14, 2025 - 19:15

A company is looking for a Utilization Management Behavioral Health Professional. Key Responsibilities Utilize behavioral health knowledge to support coordination and documentation of medical services and benefit determinations Interpret criteria and policies to provide appropriate treatment and care for members Coordinate communication with providers and members to facilitate optimal care and treatment Required Qualifications Active unrestricted registered nurse license or relevant behavioral health license in Virginia Minimum one year of post-degree clinical experience in a patient care setting Minimum one year of managed care experience Intermediate to advanced knowledge of Microsoft Office and ability to troubleshoot technical issues Ability to work independently and as part of a team