Molina Healthcare
Location
Long Beach, California
The clinician is responsible for conducting clinical service reviews to ensure medical necessity and compliance with behavioral health guidelines. They collaborate with multidisciplinary teams and providers to manage member care and facilitate appropriate treatment authorizations.
Candidates must hold an active, unrestricted behavioral health license such as LCSW, LMSW, LPC, LPCC, or LMFT in Florida. A minimum of 2 years of experience in behavioral health or acute hospital care is required.
Must reside in Florida Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
• Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room. #PJHS3 #LI-AC1
If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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