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Behavioral Health UM Clinical Reviewer RN / LCSW / LPC / LBA (PRN, Remote within VA)
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- CNSI and Kepro are now Acentra Health!
- Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC, and/or LBA to join our growing team.
- Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards.
- Ensures day-to-day processes are conducted in accordance with NCQA, URAC, and other regulatory standards.
- Active unrestricted Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) license, Licensed Professional Counselor (LPC) license, or Licensed Behavioral Analyst (LBA) license in the State of Virginia
Expired 12 days agoInactive Job
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