Minnesota Licensed Clinical Reviewer
A company is looking for a Clinical Reviewer to join their team.
Key Responsibilities
Review and interpret patient records against ASAM criteria to determine medical necessity and appropriateness of care
Ensure accuracy and timeliness of all applicable review type cases within contract requirements
Maintain current knowledge related to review processes and function as a liaison for provider customer service issues
Required Qualifications
Active unrestricted LPCC, LMFT, or LICSW in the State of Minnesota, or ability to obtain licensure upon job offer
Minimum three years direct clinical work as a mental health professional in various clinical settings
Minimum of one year experience in Utilization Review and/or Prior Authorization
Extensive knowledge of ASAM Criteria and medical record organization
Strong clinical assessment and critical thinking skills required
A company is looking for a Clinical Reviewer to join their team.
Key Responsibilities
Review and interpret patient records against ASAM criteria to determine medical necessity and appropriateness of care
Ensure accuracy and timeliness of all applicable review type cases within contract requirements
Maintain current knowledge related to review processes and function as a liaison for provider customer service issues
Required Qualifications
Active unrestricted LPCC, LMFT, or LICSW in the State of Minnesota, or ability to obtain licensure upon job offer
Minimum three years direct clinical work as a mental health professional in various clinical settings
Minimum of one year experience in Utilization Review and/or Prior Authorization
Extensive knowledge of ASAM Criteria and medical record organization
Strong clinical assessment and critical thinking skills required