Licensed UM Reviewer

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Licensed UM Reviewer


$60,120 - $63,792

A CM/UM Reviewer will be required to make clinical decisions for prospective, concurrent, and retrospective reviews of service authorization requests using a computer/electronic process. This position will make use of decision tools and information submitted by the provider and member to make service certification/non-certification decisions. They will be responsible for performing prior authorization review, continued stay and discharge reviews for MH/SA members.

Minimum Requirements-One of the following:

CSW requires a Master's Degree from an accredited school of social work and two years of supervised social work experience. Must be fully licensed as a clinical Social Worker.

LCC Requires a Master's Degree from an accredited school of counseling and the necessary supervised counseling experience as required by the appropriate North Carolina Licensing Board. Licensed to practice as a counselor as required by the appropriate North Carolina Licensing Board.

Staff Psychologist requires Master's degree in psychology and 18 months of professional psychological experience as well as necessary requirements to be licensed by NC Licensing Board.

Preferred Qualifications: Intensive In-Home, Day Treatment, Multisystemic Therapy, Community Support Team, MH Outpatient, MH Respite and MH Individual Support.

Sandhills Center offers an excellent benefits package, which includes vacation and sick leave, as well as health, dental, life, vision, disability insurance, 401 (k) and local government retirement benefits. All new employees will be subject to a background and driver's license check. Sandhills Center is a drug-free workplace; drug testing is required. Sandhills Center is also tobacco-free and any use of tobacco products is prohibited on SHC property as well as during work time Please visit , for an application.

Sandhills Center

Attn: HR/RQ/JF

201 N. Eugene St., Suite A

Greensboro, NC 27401

Category: Healthcare , Keywords: Utilization Review Consultant