Job Summary
A healthcare company has an open position for a Telecommute Outpatient Utilization Review Behavioral Care Advocate in Maryland Heights.
Must be able to:
- Conduct outpatient utilization reviews to determine appropriate care
- Focus on outpatient Commercial, Medicaid and Medicare behavioral health services
- Assess if member care meets coverage guidelines
Skills and Requirements Include:
- MS Office proficiency (Word, Excel, Outlook, Internet)
- Outpatient psychotherapy and community-based treatment experience
- Active, unrestricted Licensed Master's Degree
- Distraction-free space in home to use as a home office