Social Work p.r.n.

Utilization Review Clinician, Advocate, Virtual (New York, New York)


Pay$60000.00 / year
LocationNew York/New York
Employment typeOther

This job is now closed

  • Job Description

      Req#: 6185331

      Utilization Review Clinician/Advocate needed for full-time, permanent, remote position.

      Position Responsibilities:

      ?Performs telephonic care review and authorization determinations for prospective, concurrent and discharge review with psychiatric and substance use treatment facilities as assigned.

      ?Determines appropriate level of care related to mental health and substance use treatment for members based on insurance medical necessity level of care criteria.

      ?Consults with treatment team when requests for services do not meet medical necessity criteria.

      ?Interacts with Physician Advisors to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases.

      ?Provides information to members and providers regarding mental health and substance use benefits and community treatment resources.

      Annual Salary: $60,000.

  • About the company

      Social Work p.r.n. is a professional company that provides social work products and services across many fields of practice. We serve as a resource for both settings and social workers. Products offered by Social Work p.r.n. include Social Work Staffin...