Clinical recommendations for adverse determinations
Perform utilization review of authorization requests regarding specialty therapy services for members
Job Summary
Perform utilization review of authorization requests regarding specialty therapy services for members.
Assist with training and network management support for therapy providers.
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work.
Matching Summary
Perform utilization review of authorization requests regarding specialty therapy services for members.
Salary
$33.71 - $60.67 per hour; Not specified; Not specified
Skills & Requirements
Must-have
Evidence-based practice review
Therapy provider support
Clinical recommendations for adverse determinations
Digital video conferencing platforms
Nice-to-have
Adaptability to business changes
Strong communication skills
Organizational and time management skills
Key Requirements
Fully licensed Occupational Therapist, Physical Therapist, or Speech-Language Therapist for TEXAS