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Utilization Management Clinical Consultant Behavioral Health
Job DescriptionSchedule is Monday-Friday, with flexibility to work outside of standard schedule based on business needs.The Behavioral Health Utilization Management Clinical Consultant utilizes clinical skills to coordinate, document and communicate the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence based care and medical necessity criteria for appropriate utilization of services. Fundamental Components include:⢠Gathers clinical information and applies the appropriate medical necessity criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation/discharge planning along the continuum of care⢠Utilizes clinical experience and skills


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