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Sr Care Review Clinician, Prior Auth - Licensed Physical Therapist Only
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- May coordinate for medical service/appointments once discharge is complete and make the necessary community resource referrals.
- Analyze clinical service requests from members or providers against evidence based clinical guidelines
- Refer appropriate cases to Medical Directors and presents cases in a consistent and efficient manner
- Sign off on core competencies for new Care Review Clinicians during peer mentoring phase
- Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Rehabilitation Therapy (Occupational/Speech Therapy) or Licensed Practical Nurse (LPN) Program
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