To support the Kentucky market, the full-time Kentucky Licensed Utilization Review Clinician will perform clinical reviews and assessments related to mental health and substance abuse, ensuring the appropriateness of care and services in a fully remote environment. Key responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness before, during, and after services Conducts prior authorization reviews and concurrent reviews of behavioral health inpatient cases Analyzes member data to enhance the quality and utilization of behavioral health services Required qualifications 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 is required Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN is required Clinical knowledge of mental health and substance abuse treatment plans is preferred Experience working with healthcare providers on mental health and substance abuse services is preferred
Kentucky Licensed Utilization Review Clinician in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.