Payer-Facing Clinical Review Specialist
Lighthouse Behavioral Health Solutions
Lighthouse Behavioral Health Solutions in Columbus seeks a Peer-to-Peer Clinical Review Specialist to represent the organization in payer reviews, support medical necessity determinations, and improve authorization outcomes across the continuum of care. You will review clinical documentation, apply ASAM criteria, coordinate with providers and leadership, monitor approvals and denials, and provide data-driven input to enhance utilization management while upholding compliance and quality standards. #J-18808-Ljbffr Lighthouse Behavioral Health Solutions
Vacancy posted 1 day ago
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