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Utilization Review Specialist (remote)
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Job Description
- Req#: 2055
Employer Industry: Behavioral Health Substance Abuse
Why Consider this Job Opportunity:
- Competitive salary up to a maximum of $60,000
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package including health insurance and paid time off
- Chance to work in a supportive and collaborative team environment
- Utilize KIPU experience and gain exposure to Best Notes
- Make a positive impact by ensuring timely authorization of treatment costs
What to Expect (Job Responsibilities):
- Serve as the agency liaison with insurance and managed care companies for treatment authorization
- Monitor compliance with State and Federal laws and regulations in insurance/ third party payer areas
- Protect patient confidentiality and staff privacy
- Type correspondence, reports, and other items accurately using a computer
- Process data effectively in conjunction with the compliance consultant
What is Required (Qualifications):
- Prior Utilization Review experience in a Substance abuse environment
- BA in Psychology or related field
- Three to Five (5) years of experience in Case Management/Utilization Review
- Knowledge of ASAM guidelines and medical terminology
- Proficiency in verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Experience with Best Notes
- Certification as CADC, LAADC, LCSW, LMHC, or LMFT
#BehavioralHealth #SubstanceAbuse #UtilizationReview #CareerOpportunity #CompetitivePay
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