To support the Texas Ambetter Inpatient Behavioral Health population, the full-time Texas Licensed Utilization Review Clinician will perform clinical reviews and assess care related to mental health and substance abuse, working remotely on a schedule of four 10-hour shifts per week with Saturday availability required. Key responsibilities Evaluates member treatment for mental health and substance abuse to ensure medical appropriateness of care Performs prior authorization reviews and concurrent reviews of behavioral health inpatient services Educates providers, members, and families regarding the behavioral health utilization process Required qualifications Graduate of an accredited nursing school or Bachelor's degree with 2-4 years of related experience Master's degree for behavioral health clinicians required License to practice independently as an LCSW, LMHC, LPC, LMFT, LMHP, or RN Preferred clinical knowledge of mental health and substance abuse treatment plans Experience working with healthcare providers in behavioral health settings preferred
Texas Licensed Utilization Review Clinician in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.