Job Summary
A company is looking for a Utilization Reviewer PRN in Behavioral Health Services.
Key Responsibilities
- Conduct utilization review calls, including precertification and discharge reviews
- Collaborate with clinical staff and physicians to advocate for patients with insurance companies
- Communicate patient status and insurance information to clinical staff and assist with assessments as needed
Required Qualifications
- 2+ years of experience in a relevant field
- Master's Degree in Social Work or Psychology, or BSN with RN License
- Behavioral Health experience preferred
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