Licensed Behavioral Health Clinician
virtual vocationsDenver, CO
Licensed Behavioral Health Clinician
virtual vocationsDenver, CO
today
Occupations
Mental Health and Substance Abuse Social WorkersMental Health CounselorsSubstance Abuse and Behavioral Disorder CounselorsIndustries
Outpatient Mental Health and Substance Abuse CentersOffices of Mental Health PractitionersOffices of Physicians, Mental Health SpecialistsAbout the role
To support our inpatient and outpatient Behavioral Health Medicare Plan, the full-time remote Utilization Review Clinician - Behavioral Health will perform clinical reviews, assess care related to mental health and substance abuse, and determine the medical appropriateness of services.
Key responsibilities:
Evaluate members' treatment for mental health and substance abuse to ensure the appropriateness of care levels
Perform prior authorization reviews and concurrent reviews for behavioral health inpatient services
Analyze behavioral health member data to enhance service quality and utilization
Required qualifications:
Master's degree required for behavioral health clinicians
License to practice independently, such as LCSW, LMHC, LPC, LMFT, or LMHP
2-4 years of related experience in behavioral health or utilization management
Strong knowledge of medical necessity criteria and managed care principles
Experience working with healthcare teams to review care services related to mental health and substance abuse preferred
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JOB OVERVIEW
Experience level
Senior
Location
Denver, CO
Occupation
Mental Health and Substance Abuse Social Workers
Industry
Outpatient Mental Health and Substance Abuse Centers
Posted
today
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