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Behavioral Health Utilization Review Clinician - OH Licensed

VirtualVocations
Washington, District of Columbia, United States
Full-time

A company is looking for a Utilization Review Clinician - Retrospective.Key ResponsibilitiesPerform post-service retrospective reviews of member medical records related to behavioral healthReview medical records for coding accuracy and medical necessity of servicesConsult with senior management and healthcare providers on quality of care issues and provide education on the review processRequired QualificationsGraduate of an Accredited School of Nursing or Bachelor's degree2 - 4 years of related experience in behavioral healthClinical knowledge for analyzing medical records related to behavioral health care servicesLicensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN requiredKnowledge of Medicare, Medicaid, and behavioral health regulations preferred

1 day ago
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