What are the responsibilities and job description for the Utilization Review position at Core Billing Services?
Company Description
We are seeking passionate and results-driven individuals experienced in the Mental Health and Substance Use space to join our team.
Role Description
US Based only. This is a full-time remote role for a Utilization Review professional. The role involves conducting utilization reviews, evaluating treatment plans, analyzing medical records, and collaborating with providers to ensure the appropriateness and efficiency of treatment services.
Qualifications
- Experianced in SUD/MH Utilization Review
- Knowledge of ASAM and healthcare regulations
- Excellent problem-solving and decision-making abilities
- Strong communication and interpersonal skills
- Ability to work independently and remotely
- Experianced with KIPU EMR
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