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Utilization Management Clinician Behavioral Health
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- Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health.
- Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs.
- Must have active current and unrestricted Independent clinical behavioral health license in the state of residence (LPC, LCSW, LMFT, LMHC, etc) or active and good standing RN license.
- Knowledge of mental health and substance abuse disorders.
- Must be able to work Monday through Friday 11:30am to 8pm ESTPreferred Qualifications - 3+ years of direct clinical practice experience post master's degree, including hospital setting or alternative care setting such as ambulatory care or outpatient program- Managed care and utilization review experience preferred.
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