Job Summary
A company is looking for a Utilization Review Coordinator.
Key Responsibilities
- Manage pre-authorization requests and concurrent reviews to ensure compliance with admission and treatment standards
- Collaborate with clinical staff to assess treatment plans and ensure proper documentation for billing
- Lead clinical meetings to discuss utilization review, treatment progress, and discharge planning
Qualifications
- Bachelor's degree required; master's degree in a related field preferred
- Minimum of 3 years of clinical experience in substance abuse treatment settings
- Licensed Practitioner in Colorado preferred
- Ability to analyze medical records and make informed decisions
- Proficient in administrative tasks related to documentation and record-keeping
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