Location
Newtown
Job Type
Full-time
Posted
July 18, 2026
Job Description
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.
+ Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
+ Provides telephone triage, crisis intervention and emergency authorizations as assigned.
+ Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.
+ In conjunction with providers and facilities, develops discharge plans and oversee their implementation.
+ Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
+ Provides telephone triage, crisis intervention and emergency authorizations as assigned.
+ Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.
+ In conjunction with providers and facilities, develops discharge plans and oversee their implementation.
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