Utilization Review Representative

As Wyoming Valley Behavioral Health continues to expand, we’re excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will be responsible for reviewing and analyzing patient care to ensure the appropriate use of resources, adherence to clinical guidelines, and compliance with regulatory requirements.

Responsibilities:

·         Conduct thorough reviews of patient records and treatment plans to assess the necessity and appropriateness of medical services and interventions.

·         Evaluate clinical documentation to ensure it meets established standards and guidelines for care.

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