Utilization Review Clinician (RN) - Behavioral Health
hckd.fa.us2.oraclecloud.com.CX_1
Apply to this jobBehavioral 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...
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
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
No structured locations extracted for this role yet.