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(Behavioral Health) Utilization Review Specialist- Remote (LCSW, LPC required- managed care experience preferred)
JOB SUMMARYThe Utilization Review Specialist provides subject matter expertise in performing utilization reviews and educates health plan staff and providers regarding the appropriate delivery of therapy services. This role is responsible for development of utilization management criteria and policy in conjunction with the health plan Medical Director and Health Services leadership. ESSENTIAL FUNCTIONS OF THE ROLE


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