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Utilization Review Coordinator (REMOTE)
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Full-time
Remote
- Track admissions, continued stay and discharge PCPC requirements for county referrals.
- Maintain current insurance eligibility information through EVS, Navinet, etc.
- Investigate cases with insurance and referral sources to recuperate lost days of funding.
- Knowledge of pre-certification process and PCPC. Knowledge of CARF standards, release of information and confidentiality.
- Knowledge of DSM IV, private care managers and county referral sources.
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