Utilization Review Specialist - OP
Summit BHC(1 month ago)
About this role
The Utilization Review Specialist at Peak Behavioral Health ensures appropriate authorization and utilization practices for inpatient behavioral health services, supporting payer interactions and clinical documentation compliance. The role contributes to operational and financial coordination and provides education to clinical staff. This position is based in Santa Teresa, NM and reports to Las Cruces.
Required Skills
- Utilization Review
- Concurrent Review
- Discharge Planning
- Appeals Management
- Benefit Verification
- Case Management
- Clinical Documentation
- Peer Review
- Provider Communication
- Data Reporting
Qualifications
- Graduation From Accredited Nursing School
- Bachelor's Degree in Social Work or Behavioral Health or Related Field
- LPN or RN License (State)
About Summit BHC
summitbhc.comSummit Behavioral Healthcare, Addiction Treatment Centers in AZ, CA, CO, GA, IA, IN, KS, LA, MO, NJ, NM, NC, PA, SC, TN, TX, VA, WV, & WI.
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