Licensed Long Term Services Reviewer

Job Summary

A company is looking for a Long Term Services & Support Reviewer in Utilization Management.

Key Responsibilities

• Complete care and service needs reviews for inpatient and outpatient services
• Evaluate authorization requests and ensure appropriate services are approved
• Document case activities and maintain compliance with policies and procedures

Required Qualifications

• Bachelor's Degree required
• Professional licensure in a healthcare or social services-related field preferred
• Registered Nurse is preferred
• Three or more years of experience in a related clinical or social services setting
• Expertise in addressing the needs of the Long Term Services and Support population