Job Description & How to Apply Below
Key Responsibilities Perform pre-authorization, concurrent, and retrospective reviews for inpatient/outpatient services Act as a liaison between treatment team members using clinical expertise and payor knowledge Maintain required documentation in information systems and participate in case conferences and educational opportunities
Required Qualifications Master's degree in counseling (LPC, LCSW, LMFT) or BSN in nursing; licensure preferred Experience in utilization review and managed care preferred Experience in eating disorders preferred Familiarity with KIPU and other EMR systems Excellent time management and computer skills
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