Remote Behavioral Health Utilization Review Specialist
Nationwide-Children
Columbus, OH
- Remote job
Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment. You will engage with hospital teams and third-party payors to secure quality care and proper payment. The role involves retrospective reviews, denial management, documentation, and data analysis to improve patient outcomes. After a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide-Children
Vacancy posted 4 days ago
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