**This position is located in located in Chicago, IL**
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute in-patient to out-patient office visits.
*Registered Nurse (RN) with current license or Masters-level Behavioral Health Professional with current license to practice at the independent practice level. Current clinical license in state of operations and in good standings.
*3 years clinical experience in psychiatric setting or own behavioral health practice.
*Verbal and written communication skills.
*Analytical and decision making skills.
*PC and database experience.
PREFERRED JOB REQUIREMENTS:
*Utilization review experience.
Location: IL - Chicago
Activation Date: Wednesday, September 27, 2017
Expiration Date: Thursday, February 1, 2018
BlueCross and BlueShield