Clinical Reviewer, Behavioral Health

About the Role

Join Point32Health as a Clinical Reviewer, Behavioral Health in United States.

Key Responsibilities

• Concurrent review of Behavior Health Services Identification and determination of benefit coverage for behavioral health coverage requests.

• Identifies and determines medical necessity of out of network requests for services.

• Effective communication with the Medical Director, regarding identified variances for specific members according to criteria utilized for medical review.

Requirements

• based communications: webinar, instant messaging, thin client, soft phone, or others Proficiency with or ability to learn technology

• $114,177.38

• 26 -$114,177.38

Benefits & Compensation

• Salary: $76.1K - $114.2K

Work Schedule

• Full-Time position.

• Remote position - work from anywhere.

Apply to join Point32Health as a Clinical Reviewer, Behavioral Health.