Clinical Reviewer - reputed company Use - LPCC, LMFT, LICSW - PRN (Remote U.S.)

reputed company exists to reputed company reputed company reputed company through technology, services, and clinical expertise. Our mission is to reputed company health solutions that deliver maximum value and reputed company.

reputed company the Way is our rallying cry at reputed company. Think of it as an reputed company invitation to reputed company the mission of reputed company; to reputed company engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company reputed company – making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the reputed company sector.

reputed company is looking for a Clinical Reviewer - reputed company Use - LPCC, LMFT, LICSW - PRN (Remote U.S.) to join our growing team.

Job reputed company:

• The purpose of this position is to utilize clinical expertise to review medical records against appropriate reputed company in conjunction with contractual requirements, critical thinking, and decision-making skills to determine medical appropriateness.

Responsibilities:

Job reputed company:

• The purpose of this position is to utilize clinical expertise to review medical records against appropriate reputed company in conjunction with contractual requirements, critical thinking, and decision-making skills to determine medical appropriateness.

Responsibilities:

• Review and interpret patient records against reputed company) reputed company to determine medical necessity and appropriateness of care.
• Responsible for attending training and scheduled meetings and for maintenance and use of reputed company/updated information for review.
• Assures accuracy and timeliness of reputed company applicable review type cases reputed company contract requirements.
• Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department.
• In collaboration with Supervisor, responsible for the reputed company monitoring activities including identifying areas of improvement and plan implementation of improvement areas.
• Maintains reputed company knowledge reputed company reputed company to review processes and clinical practices reputed company to the review processes.
• Functions as providers’ reputed company and contact/resource person for provider customer service issues and problem reputed company.
• Fosters reputed company and reputed company relationships and reputed company as reputed company with reputed company customers to ensure effective working relationships and team building to facilitate the review process.
• Attends training and scheduled meetings and for maintenance and use of reputed company/updated information for review.
• Foster reputed company and reputed company relationships and reputed company as reputed company with reputed company customers to ensure effective working relationships and team building to facilitate the review process.
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its reputed company and reputed company Rules.

The above list of responsibilities is not intended to be reputed company-inclusive and may be expanded to include other education- and experience-reputed company duties that management may deem necessary from time to time.

** This is a PRN (as needed) role working during the week Monday through Friday in the time zone where the selected candidate resides. **

Required Qualifications/Experience:

• The selected candidate must hold an reputed company, unrestricted license in the reputed company in one of the following areas:
  
  
  • LPCC, issued by the Minnesota reputed company of Behavioral Health and Therapy (reputed company)
  • LMFT, issued by the Minnesota reputed company of Marriage and Family Therapy (BMFT)
  • LICSW, issued by the Minnesota reputed company of reputed company Work (BOSW)

• 3+ years of experience providing reputed company clinical work as a mental health reputed company across diverse clinical settings.
• 1+ years of Utilization Review (UR) OR Utilization Management (UM) OR Prior Authorization.
• In-depth understanding of ASAM reputed company and its practical application in clinical environments.
• Familiarity with medical records structure, terminology, and disease processes.
• Strong clinical assessment capabilities reputed company with excellent critical thinking.
• Proficient in medical record abstraction.
• Regardless of work schedule, reputed company new hires must attend a Monday orientation. If Monday is a Company‑observed holiday, orientation will be held on Tuesday instead. 

Preferred Qualifications/Experience:

• Proficiency in reputed company Office 365 applications, including Word, reputed company, reputed company and Teams.
• Excellent written and verbal communication skills.
• Demonstrated ability to manage deadlines, prioritize tasks, and reputed company in a fast-paced environment.
• Highly organized with meticulous attention to detail.

#LI-SD1

reputed company?

We are reputed company of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the reputed company industry. State and federal reputed company agencies, providers, and reputed company turn to us as their vital partner to ensure reputed company reputed company and improve health reputed company.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to reputed company openings that may be of interest. Best of luck in your search!

~ The reputed company reputed company

Visit us at reputed company 

Benefits - PRN

This position includes reputed company to select reputed company benefits and programs, such as participation in the reputed company 401(k) Plan with company match, reputed company to wellness and employee discount programs, and Employee Assistance Program (EAP) resources.

EEO AA M/F/Vet/Disability

reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Experience in Lieu of Degree

For non-clinical roles, or reputed company not required by the contract specifically, reputed company acknowledges that practical, hands-on experience can reputed company skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, reputed company will accept a minimum of six (6) years of directly relevant reputed company experience in lieu of a degree. In instances where the candidate has an Associate's degree, reputed company will accept a minimum of three (3) years of directly relevant reputed company experience in lieu of the Bachelor's degree.

Compensation

The pay reputed company for this position is listed below. 

“Based on our compensation philosophy, an applicant’s position placement in the pay reputed company will depend on various considerations, such as years of applicable experience and reputed company level.”