Description
The Behavioral Health Clinician is a remote contract role serving the tri-state area of Pennsylvania, New Jersey, and Delaware. The position evaluates behavioral health conditions through medical records, coordinates with providers, authorizes services based on medical necessity, maintains regulatory compliance, advocates for members, and ensures coverage under benefit plans. Candidates need behavioral health utilization management experience, at least three years of behavioral health clinical experience, and preferred qualifications including an LCSW, LMFT, LPC, or active Pennsylvania-licensed RN with a BSN.
