UR Specialist - Kingston, PA, PA

Only for registered members Kingston, PA, PA, United States

1 week ago

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+Job summary
The Utilization Review Specialist at Moriah Behavioral Health reviews requests for preauthorization and concurrent reviews for all levels of care offered.+Responsibilities
? Uses clinical knowledge and/or nursing experience to review requests for preauthorization and concurrent reviews.
? Attends treatment team meetings as assigned (virtually), communicates extensively with the treatment team concerning client progress.
? Reviews client charts for updated clinical information, notifies clinician, clinical director, and clinical documentation specialist if clinical data is not up to date.+Skills
? Minimum Associate Degree with clinical experience and/or nursing experience or equivalent combination of education and experience.
? Previous clinical documentation experience in healthcare-related fields.
  • Nurse

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