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Behavioral Health Utilization Review Clinician - OH Licensed

Company: VirtualVocations
Location: Santa Ana
Posted on: September 18, 2024

Job Description:

A company is looking for a Utilization Review Clinician - Retrospective.



Key Responsibilities

Perform post-service retrospective reviews of member medical records related to behavioral health
Review medical records for coding accuracy and medical necessity of services
Consult with senior management and healthcare providers on quality of care issues and provide education on the review process


Required Qualifications

Graduate of an Accredited School of Nursing or Bachelor's degree
2 - 4 years of related experience in behavioral health
Clinical knowledge for analyzing medical records related to behavioral health care services
Licensure as LCSW, LMHC, LPC, LMFT, LMHP, or RN required
Knowledge of Medicare, Medicaid, and behavioral health regulations preferred

Keywords: VirtualVocations, Irvine , Behavioral Health Utilization Review Clinician - OH Licensed, Healthcare , Santa Ana, California

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