A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
Evaluates treatment for mental health and substance abuse to ensure appropriateness of care
Performs prior authorization reviews and concurrent reviews for behavioral health services
Analyzes member data to enhance 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
License to practice independently as per state requirements
Preferred clinical knowledge in mental health and substance abuse treatment plans
Experience working with healthcare providers in behavioral health settings preferred
Behavioral Health Clinician • Pasadena, California, United States