Utilization Reviewer CD

Full Time
Rochester, NY
Posted
Job description

Experienced therapist with CASAC or license with good knowledge of clinical record, documentation standards and processes and well as regulatory requirements who is able to work independently with support from team and supervision. Work is remote.

STATUS: Full time

LOCATION: Remote primarily, some meetings at EBHC

DEPARTMENT: Behavioral Health

SCHEDULE: 40 hours flexible day time

ATTRIBUTES

  • Self motivated
  • Able to work independently
  • Flexibility to support work of team
  • Experience in BH and review of records

RESPONSIBILITIES

  • Attend all scheduled trainings and monthly UR committee meeting regarding utilization review.
    Complete utilization review and reports for assigned programs as outlined in the Utilization Review policy and procedure.
    Communicate with program managers as needed, regarding areas of concern and outcomes.
    Complete monthly UR tracking information and final report and maintain all necessary documentation as outline by OASAS guidelines and departmental policy.
    Maintains necessary licensure or credential.
  • Willing to be involved and contribute to other BH Quality Department project and activities focused on regulatory compliance or quality improvement.
EDUCATION BS (Required) LICENSES/CERTIFICATIONS QHP - Qualified Health Professional - NYS Office of Alcoholism and Substance Abuse Services (OASAS) Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

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