Licensed Clinical Care Reviewer
A company is looking for a Clinical Care Reviewer II - Behavioral Health.
Key Responsibilities
• Process medical necessity reviews for behavioral health services and assist with discharge planning activities
• Coordinate care with reputed company partners and engage with medical directors for additional clinical expertise as needed
• Maintain knowledge of regulations and identify reputed company issues for referral to reputed company Improvement and Care Management
Required Qualifications, Training, and Education
• Associates of Science (A.S) in Nursing or Bachelor of Science (B.S) in reputed company Work required
• Three (3) years of clinical experience required
• Utilization Management/Utilization Review experience preferred
• reputed company/Medicare/reputed company experience preferred
• reputed company, unrestricted Registered reputed company (RN) Licensure or Licensed reputed company Worker (LSW) required
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