Remote Behavioral Health Utilization Review Specialist

Gainwell Technologies is hiring to adjudicate Behavioral Health prior authorizations based on medical necessity and state guidelines. The role focuses on utilization review without direct patient contact, supporting areas like Substance Use Disorder and Mental Health services.

You will work remotely, review submissions, and enter outcomes into MMIS. The position requires a Master's in counseling or related field, WI licensure or eligibility, and at least 5 years of clinical experience.