The Utilization Review Clinician serves as a leader resource in the Utilization Review process for Behavioral Health acute care . They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. The UR clinician coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All Utilization Review activities are performed in accordance with the current policies and procedures, mission, vision, and values of Novant Health. This position offers remote work for candidates residing in FL, GA, IN, LA, MS, NV, NC, OK, SC, VA, WY.
Come join a remarkable team where quality care meets quality service, in every dimension, every time. Let Novant Health be the destination for your professional growth. At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
ResponsibilitiesIt is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
- Our team members are part of an environment that fosters team work, team member engagement and community involvement.
- The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
- All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
Qualifications
- Education: 4 Year / Bachelors Degree, required. Graduate of an accredited school of nursing, social work, or counseling required. Graduate Degree in Nursing/Social Work/Counseling, preferred.
- Experience: Minimum of two years Behavioral Healthcare experience and Utilization Review or related experience, preferred.
- Licensure/Certification: Current RN or LCSW/LPC licensure in appropriate state, required.
Job Opening ID
82366