Behavioral Health Utilization Management Reviewer
AmeriHealth Caritas
About the role
Role Overview Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the BH UM Reviewer’s discretion to retain requests for additional in…
Read the full description on the original posting.
Perks & benefits
- 401k
- Medical Insurance
- Paid Time Off
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