Licensed Behavioral Health Reviewer
Company: VirtualVocations
Location: Rockford
Posted on: October 29, 2024
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Job Description:
A company is looking for a Clinical Reviewer - Behavioral Health
- PRN (Remote within Arkansas).
Key Responsibilities
Complete prior authorization, continued stay, and retrospective
quality reviews for Behavioral Health services
Collaborate with clinical leadership to assess medical necessity
and monitor provider trends
Educate Behavioral Health Providers on the review process and
assist with program-specific training
Required Qualifications
Master's degree-level Behavioral Health professional licensed in
Arkansas (e.g., LCSW, LMSW, LMFT)
2+ years of experience in a behavioral health setting, including
utilization reviews or case management
Knowledge of medical/psychiatric terminology and mental health
assessment tools
Experience with government-funded behavioral health programs and
relevant policies
Arkansas licensure in Social Work or Counseling in good
standing
Keywords: VirtualVocations, Des Plaines , Licensed Behavioral Health Reviewer, Healthcare , Rockford, Illinois
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