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Licensed Behavioral Health Reviewer

Company: VirtualVocations
Location: Rockford
Posted on: October 29, 2024

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, Mount Prospect , Licensed Behavioral Health Reviewer, Healthcare , Rockford, Illinois

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