Utilization Review Clinician (RN) - Behavioral Health

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Until 9/29/2026 First posted July 22, 2026 Last posted July 31, 2026
Job description

Behavioral Health Experience Required. Seeking a Registered Nurse with a OH or compact license. The Care Review Clinician will provide prior authorization for behavioral health services for the OH Medicaid population. Strong behavioral health care experience (Inpatient Mental Health/Psych, Substance Use Disorder, Rehabilitation/withdrawal management, outpatient BH related services etc). Excellent computer multi-tasking skills and good productivity is essential for this fast-paced role. Good analytical thought process is important to be successful in this role. Prefer candidates that have experience with ASAM, MCG or previous experience with Utilization Reviews. SCHEDULE: Monday thru Friday 8:00AM to 5:00PM EST (Rotating weekends and Holiday schedules are required for this position.) Once orientation period has finished, employee may be eligible for an alternative work schedule. Job Summary Provides support for clinical member services review assessment processes. Responsib...

About this role

Summary

Provide behavioral health utilization reviews, prior authorizations, and clinical assessments.

Job title

Utilization Review Clinician (RN) - Behavioral Health

Experience level

professional level

Industry

healthcare

Location requirements

Remote work possible, location not specified

Salary

Not specified

Management role

No

Skills & keywords

Required skills

registered nursebehavioral healthOH licenseanalytical skillscomputer skills

Preferred skills

ASAMMCGmental healthsubstance use disorder

Specializations

behavioral healthmental healthsubstance use disorderutilization reviewpsychiatry
Locations

Structured locations inferred from the posting.

No structured locations extracted for this role yet.