Utilization Mgmt Coord - Behavioral Health
- Bachelor’s Degree from an accredited nursing school, B.A/ B.S or Required or
- Bachelor’s Degree in Social Work Required or
- Master’s degree Preferred
- 2 years of experience in an acute, post-acute, managed care, psychiatric, or revenue cycle Required
- Previous experience with InterQual and/or MCG guidelines Required
- Previous experience in Utilization Management and/or Appeals Required
- Previous Epic experience or Meditech/MIDAS experience Required
- Previous experience in prior authorization process Required
- Utilization Review or Care Management experience Preferred
- Current unrestricted registered nurse (RN) license or LMSW/LCSW, in the state of Georgia. Required or
- LPC/LMFT also acceptable Required
- Case Management Certification (CCM) or American Case Management Association (ACMA) certification Preferred
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