Specialist, Utilization Review - Georgetown, TX, United States

Only for registered members Georgetown, TX, United States

1 week ago

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Job summary

The Utilization Review Specialist manages and coordinates the utilization review process for inpatient and outpatient behavioral health services.

Responsibilities

  • Conducts concurrent and retrospective utilization reviews to ensure medical necessity and payer compliance.
  • Manages pre-authorizations and continued stay reviews for inpatient and outpatient services.

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