• Review and evaluate Behavioral Health (BH) protected clinical information and documentation • Work on BH Potential Quality of Care cases, along with Patient Safety Events across all lines of business (Commercial, Medicare, and Medicaid) • Independently coordinate the clinical resolution with internal/external clinician support as required • Review documentation and evaluate BH Potential Quality of Care issues based on clinical policies and benefit determinations • Condense complex information into a clear and precise clinical picture while working independently • Report clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated • Collaborate with BH Medical Directors, Network, Legal, Risk Management, etc.