Industry: Healthcare Services
Job title: Mental Health Counselor
Location: Nashville, Tennessee
Duration: 04 Months
- Performs utilization management duties for client members following national and state clinical guidelines for inpatient and outpatient Medicare and Medicaid covered services.
- Participates in the discharge planning process and identifies appropriate resources both internal and external required for a successful transition of care to an alternative setting.
- Responsible for the effective and sufficient support of all behavioral utilization activities for several markets according to policies and procedures.
- Will focus on utilization management of Medicare and Medicaid covered Behavioral Health requests.
- Refers cases to the Medical Director as appropriate.
- Evaluates and refers cases to