Offer summary
Qualifications:
Graduate of an Accredited School Nursing or Bachelor's degree, 2 – 4 years of related experience, Master’s degree for behavioral health clinicians required, LCSW, LMHC, LPC, LMFT, LMHP, or RN license.
Key responsabilities:
- Clinical review and assessment for mental health and substance abuse care
- Prior authorization and concurrent reviews based on regulatory guidelines
- Analyze member data for quality improvement
- Educate providers, members, and families on behavior health utilization process
- Interact with healthcare providers and engage with leadership for care efficiency