Illinois Licensed Clinical Reviewer

Job Summary

A company is looking for a Clinical Reviewer to evaluate assessments and determine individuals' needs for additional supports and services.

Key Responsibilities

• Review requests for services for adherence to clinical criteria and policy requirements
• Issue approvals, denials, or recommendations based on contract requirements
• Complete documentation of activities within contract systems and communicate with relevant parties

Required Qualifications

• High School Degree or equivalent required
• Minimum 1 year of clinical experience required
• Master's degree in Social Work, Mental Health, or a related field OR an active and unrestricted Nursing license
• Minimum 2 years post-graduate work experience in the mental health field
• Minimum 2 years experience conducting mental health assessments