Utilization Review Specialist - LPN Required
Medusind · United States · posted today ago
Listing supplied by Himalayas. 101 Careers did not originate this post and applications are handled by the employer.
About this role
Position Overview:
The UR Representative is responsible for conducting Utilization Reviews (UR) to ensure appropriate authorization for behavioral health services. This role involves reviewing cases via multiple platforms, coordinating peer reviews, entering authorization data, following up on approvals, and maintaining clear communication with facilities. Strong knowledge of levels of care, prior authorization processes, and behavioral health policies is required.
Originally posted on Himalayas