Behavioral Health Utilization Reviewer

Job Summary

A company is looking for a Utilization Reviewer PRN in Behavioral Health Services.

Key Responsibilities

• Conduct utilization review calls, including precertification, continued stay, discharge reviews, and retrospective reviews
• Collaborate with clinical staff and physicians to advocate for patients with insurance and managed care companies
• Communicate insurance information and assist with discharge planning and appeals for unfavorable utilization review decisions

Required Qualifications

• 2+ years of experience in a relevant field
• Master's Degree in Social Work or Psychology or BSN with RN License
• Behavioral Health experience is preferred
• Certifications such as BLS, CADC, CSADC, CPC, LCSW, MSW, or RN are preferred