Payer-Focused Clinical Review Specialist
lighthousebehavioralhealthsolutions
Lighthouse Behavioral Health Solutions in Columbus, OH seeks an experienced Peer-to-Peer Clinical Review Specialist to represent the organization in payer reviews, support medical necessity determinations, and improve authorization outcomes across our continuum of care. This clinical utilization management role focuses on peer-to-peer discussions with MCOs, commercial payers, and Medicare Advantage plans, reviewing documentation, evaluating level of care, and presenting evidence-based rationale #J-18808-Ljbffr lighthousebehavioralhealthsolutions
Vacancy posted 1 day ago
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