Clinical Care Reviewer- Bh-Rn With Msl Or Ga License

Job Summary:

Clinical Care Reviewer I – Behavioral Health is responsible for processing medical necessity reviews for appropriateness of authorization for behavioral health care services, assisting with discharge planning activities (i.e. outpatient services, home health services) and care coordination for members enrolled with a CareSource Management Group line of business, as well as monitoring the delivery of behavioral healthcare services in a cost effective manner.

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Organization Level Competencies

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.