Job Summary
A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
- Evaluates member's treatment for mental health and substance abuse to ensure appropriateness of care
- Performs prior authorization and concurrent reviews related to mental health and substance abuse
- Analyzes behavioral health member data to improve service quality and utilization
Required Qualifications, Training, and Education
- Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
- Master's degree for behavioral health clinicians required
- North Carolina License required for independent practice
- Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN required
- Clinical knowledge of mental health and substance abuse treatment plans preferred