Remote Behavioral Health Clinical Care Utilization Management Reviewer

Job Summary

A managed care organization has a current position open for a Remote Behavioral Health Clinical Care Utilization Management Reviewer.

Core Responsibilities of this position include:

• Providing access to medical necessity determinations
• Assisting members with appropriate specialized behavioral health care coordination
• Reviewing the provider requests for inpatient and outpatient services

Skills and Requirements Include:

• Registered Nurse
• LCSW,LMSW,LPC, LMFT
• Graduate from an accredited institution with an Associate or Bachelor’s
• Mental Health and/or Substance Use Disorder experience
• Managed Care and Utilization Management experience
• 3 to 5 years Behavioral Health experience