Behavioral Health Clinical Review Manager
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Job Description
About the Role
Join BlueCross BlueShield of Tennessee as a Behavioral Health Clinical Review Manager in United States. Are you passionate about making a meaningful impact on the lives of individuals facing mental health challenges, while working behind the scenes? If so, Utilization Management might be the perfect fit for you!
Key Responsibilities
- paced, dynamic environment. Our Ideal Candidates will have an RN or Social Work license and: 3 years
- Clinical behavioral health / substance use disorder experience required 1 year
Requirements
- making and problem
Work Schedule
- Full-time position.
- No explicit call, weekend, or night shift information provided.
Apply to join BlueCross BlueShield of Tennessee as a Behavioral Health Clinical Review Manager.
Key Skills
Position Insights
Mental Health Therapy — Physician Career Context
This Mental Health Therapy position at BlueCross BlueShield of Tennessee is open to physician candidates.
Physicians (MD/DO) are in high demand across healthcare settings, with growing interest in positions that offer sustainable schedules and reduced administrative burden.
Location & Logistics
This position is based in United States.
Skills, Responsibilities & Benefits
Key skills and qualifications: Behavioral Health, Utilization Management, Withdrawal Management, Clinical Rounds, RN License, Social Work License, Substance Use Disorder Experience, Community Care Resources. Candidates with experience in these areas may be especially well-suited for this Mental Health Therapy role.
Core responsibilities: The role involves assisting non-clinical staff with administrative reviews and initiating referrals to coordinate appropriate care, while also seeking Medical Director advice when necessary according to policy. Responsibilities include performing comprehensive provider and member appeals, denial int...
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Job Details
Employment Type
Full Time
Posted
2mo ago
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