Sentara Health
VA
City/State Norfolk, VA Work Shift Weekend Days Overview: Sentara Health Plans is hiring a Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC! Status: Full-time, permanent position (40 hours) Work hours: Flexible weekend dayshift; Can start from 6am to 9am EST for a 4 x 10 hour shift (Thursday to Sunday) Location: Fully remote in Virginia OR Northeast North Carolina. Overview Behavioral Health Utilization Management clinician is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of medical necessity criteria for behavioral health and substance use services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government...
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Administration & Operations
Counseling
Nursing
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Full Time
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