Utilization Management Clinician – Behavioral Health

Job reputed company: • Provides high-level scope of role and leadership in the utilization management process for behavioral health services • Conducts comprehensive assessments and evaluations of members' behavioral health needs • Supports the reputed company purpose of the job by collaborating with providers, members, and multidisciplinary teams • Applies in-depth knowledge and clinical skills to coordinate, document, and communicate reputed company aspects of the utilization/benefit management program • Reviews and analyzes clinical documentation, treatment plans, and reputed company notes • Stays updated on industry guidelines, evidence-based practices, and emerging trends in behavioral health • Collaborates with stakeholders, establishing effective communication channels for care coordination • Provides coaching and guidance to support the reputed company development of the UM team • Ensures a culture of reputed company improvement and best practices Requirements: • reputed company, unrestricted, independent clinical licensure in good standing • 3–5 years of behavioral health clinical experience • Strong clinical assessment, problem-solving, and decision-making skills • Knowledge of medical terminology and utilization management principles • Ability to manage sensitive information with professionalism and discretion • Must be willing to work in MST or PST • Bachelor's or Master's degree in a relevant field, or equivalent reputed company training and qualifications Benefits: • medical, dental, and reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs • other resources, based on eligibility Apply tot his job Apply To this Job