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North Carolina Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician. Key Responsibilities Coordinate and conduct initial, concurrent, and retrospective medical necessity reviews Collaborate with physicians and healthcare team members to ensure regulatory compliance Perform Utilization Review activities in accordance with established policies and procedures Required Qualifications, Training, and Education Bachelor's degree required; graduate of an accredited school of nursing, social work, or counseling required Graduate degree in Nursing, Social Work, or Counseling preferred Minimum of two years of Behavioral Healthcare experience and Utilization Review or related experience preferred Current RN or LCSW/LPC licensure in the appropriate state required
A company is looking for a Utilization Review Clinician.
Key Responsibilities
Coordinate and conduct initial, concurrent, and retrospective medical necessity reviews
Collaborate with physicians and healthcare team members to ensure regulatory compliance
Perform Utilization Review activities in accordance with established policies and procedures
Required Qualifications, Training, and Education
Bachelor's degree required; graduate of an accredited school of nursing, social work, or counseling required
Graduate degree in Nursing, Social Work, or Counseling preferred
Minimum of two years of Behavioral Healthcare experience and Utilization Review or related experience preferred
Current RN or LCSW/LPC licensure in the appropriate state required