Licensed Utilization Review Clinician
Company: VirtualVocations
Location: Vista
Posted on: May 23, 2025
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Job Description:
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 medical appropriateness
Performs prior authorization and concurrent reviews related to
mental health and substance abuse
Provides education to providers, members, and families regarding
the behavioral health utilization process
Required Qualifications, Training, and Education
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 or state-required licensure
Clinical knowledge related to mental health and substance abuse
preferred
Experience working with healthcare teams in reviewing care services
preferred
Keywords: VirtualVocations, Placentia , Licensed Utilization Review Clinician, Other , Vista, California
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