Behavioral Health Utilization Review Clinician
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Oakwood Springs is seeking a dedicated Utilization Review Specialist to perform clinical reviews on patient admissions and continued stays. The role involves analyzing records to determine admission legitimacy, advocating for necessary treatment, and coordinating with managed care for benefits during the stay. You will work with the treatment team to ensure coverage requirements are met and support discharge planning while maintaining timely communication with external payers and physicians. #J-18808-Ljbffr Socket.dev
Vacancy posted 2 days ago
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## Utilization Management Clinician (Tuesday - Saturday)Applylocations: WFH: FLtime type... ...the member’s specific health plan benefits and the additional... ....* Perform concurrent review of members admitted to... ...and outpatient to include behavioral health, home health, and hospice...Contract workWork experience placementWork at officeWork from home- ...array of necessary physical and behavioral health services and other community... ...under general supervision. Utilizes approved assessments to... ...Facilitates periodic case record reviews and case conferences with... ...physicians and evaluating clinicians for additional medical or mental...Daily paidTemporary workWork experience placement
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$25 - $31 per hour
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