Healthcare Consultant III - Utilization Management Clinical Consultant – Behavioral Health

Benefits

• Opportunity for career advancement and growth within the organization
• Work remotely with flexibility in your schedule
• Collaborate with a variety of healthcare providers to ensure quality care
• Engage in quality improvement and utilization initiatives
• Contribute to the continuity of care and safe discharge planning

• Review clinical documentation to determine medical necessity and appropriateness of behavioral health services
• Apply clinical guidelines and tools such as Inter Qual, MCG, ASAM, or LOCUS
• Conduct initial, concurrent, and discharge reviews
• Coordinate with healthcare providers regarding authorizations and care planning
  
  Provide urgent or emergent triage support when required

• Active Arizona license: LCSW, LPC, LMFT, or RN with active compact license and behavioral health focus
• Master’s degree required for behavioral health clinicians, Associate’s degree required for RN applicants
• Experience in behavioral health utilization management or clinical review
• Strong knowledge of medical necessity criteria (Inter Qual, MCG, ASAM, LOCUS preferred)
• Excellent communication and documentation skills

• Experience with quality improvement and utilization initiatives in a clinical setting

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.