Inpatient Utilization Review Clinician, Behavioral Health
About this role
Job title: Inpatient Utilization Review Clinician, Behavioral Health
Description
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Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.
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Key Details: This position is Tuesday-Saturday or Wednesday - Sunday 8am to 5pm with holiday rotation.
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Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate.
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Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria.
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