Arizona Licensed Behavioral Health Professional

To support a leading healthcare organization, the remote Licensed Behavioral Health Professional will review clinical information, analyze medical records, and coordinate care to ensure quality and timely authorization decisions. Key responsibilities Review clinical information and make coverage determinations based on medical necessity criteria Analyze medical records to ensure alignment with evidence-based standards and facilitate care management referrals Conduct concurrent reviews and provide clinical interventions as needed to support continuity of care Required qualifications Active behavioral health license in Arizona (LCSW, LPC, LMFT) or an Associate's degree for RN applicants Master's degree required for behavioral health clinicians Working knowledge of behavioral health terminology and utilization management principles Ability to evaluate clinical needs while balancing quality and cost in member-centered care Digital literacy and capability to work effectively in a virtual environment