Behavioral Health Care Reviewer

Commonwealth of Pennsylvania; Uniontown (Fayette County); Vor Ort; USD 60.000 - 73.000; Vollzeit

Zusammenfassung

The Commonwealth of Pennsylvania in Fayette County is seeking a Clinical Care Reviewer to support individuals seeking behavioral health and treatment services. This role involves gathering demographic and clinical information, guiding consumers to resources, and coordinating care to ensure positive outcomes for the community.

The position requires a master’s degree in social work, psychology, nursing, or counseling and at least two years of clinical mental health experience, or equivalently two

Qualifikationen

• Master's degree in social work, psychology, nursing, or counseling with two years of clinical mental health experience.
• Or two years of clinical mental health experience with an active PA nursing license.

Aufgaben

• Information gathering by telephone to collect demographic and clinical data for service authorization.
• Provide information on benefits, treatment options, and community resources.
• Review and assess medical appropriateness of psychiatric and substance use cases.
• Advocate for consumers and families while coordinating with care managers.
• Maintain accurate records and referral documentation per program requirements.
• Follow up with consumers and service providers to ensure ongoing support.

Ausbildung

Master's degree in social work, psychology, nursing, or counseling

Jobbeschreibung

The Commonwealth of Pennsylvania in Fayette County is seeking a Clinical Care Reviewer to support individuals seeking behavioral health and treatment services. This role involves gathering demographic and clinical information, guiding consumers to resources, and coordinating care to ensure positive outcomes for the community.

The position requires a master’s degree in social work, psychology, nursing, or counseling and at least two years of clinical mental health experience, or equivalently two