Utilization Review-Remote

Adecco Medical and Science is seeking a Licensed Mental Health Clinician or Board-Certified Behavioral Analyst for a Remote Utilization Review position. Are responsible for utilization review of behavioral health services. Includes authorization, concurrent review, and coordination and assurance of appropriate levels of care to members. Provides member support services through provider referrals, review of benefits, and general support.

Additional Responsibilities:

• Assesses and interprets customer needs and requirements.
• Review clinical information and make medical necessity recommendations
• Solves moderately complex problems and/or conducts moderately complex analyses.
• Provides explanations and information to others on difficult issues.
• Provide Care Advocacy and support for families navigating the complexities involved with Autism Diagnosis
• Facilitate member and caregiver education

Must Haves:

• Minimum of 3 years’ experience working with children and families. Preference for experience with Autism Disorders
• Independently Licensed Mental Health Clinician or Board Certified Behavior Analyst
• Strong operational focus with demonstrated project management, change management, and execution skills. Self-motivated and able to work with little direct supervision and drive results with disciplined follow-though.
• The candidate should be a problem solver, able to be self-directed yet also comfortable working in a highly structured environment with set schedules. Must possess strong customer service orientation.

If you are interested in this Utilization Review position, then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com. If you have questions about the position, please contact Hari Dhurjaty at 585-613-3037 or hari.dhurjaty@adeccona.com.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_2_101084_333768