Indiana Licensed Utilization Review Clinician - job 1 of 2

Job Summary

A company is looking for a Utilization Review Clinician - Behavioral Health.

Key Responsibilities

• Evaluates member's treatment for mental health and substance abuse to ensure appropriateness of care
• Performs prior authorization reviews for mental health and substance abuse services in accordance with regulatory guidelines
• Analyzes behavioral health member data to enhance quality and utilization of 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 required
• License to practice independently as per state requirements
• Clinical knowledge of treatment plans related to mental health and substance abuse preferred
• Experience working with providers and healthcare teams in behavioral health preferred