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Behavioral Health Services Quality Review Consultant
Job Summary: The Behavioral Health Quality Reviewer conducts and coordinates quality review activities for behavioral health services. Provides clinical review, educational, consulting, and coordinating support to assigned areas.  Coordinates with physicians, staff, and non-Kaiser providers and facilities regarding assessment of clinical care paths. In conjunction with physicians, monitors all clinical activities, makes recommendations, identifies cost-effective protocols, and develops guidelines for care.Essential Responsibilities: Performs concurrent review of ambulatory service records based on care standards and the level of care (LOC) needed (long term vs short ter


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