Utilization Review Job in Pompano Beach 33069, Florida Us
Dual Diagnosis Chemical Dependence treatment program seeks MD or DO (license not required) to join our Utilization Review Department.
Responsibilities include:
· Conduct initial, concurrent and retrospective review of inpatient and outpatient levels of care with third party payers and managed care companies to approve services based on medical necessity
· Take a leadership role within the treatment team regarding patient care planning and treatment
· Document cases in the Patient Management System
· Participation in treatment team meetings
· Provides after hours on-call services when scheduled and responds in a timely basis and in a professional manner
· Generates, reviews, and submits appeals in a timely manner
Requirements:
· Education: Medical Doctor or Doctor of Osteopathic Medicine (License not required)
· Excellent organizational and communication skills and ability to meet time frames
· Ability to work effectively with a variety of customers including physicians, treatment team members and co-workers
· Ability to work independently and make appropriate decisions
· Psychiatric, Mental Health, and/or Chemical Dependence experience preferred but not required
· Strong medical knowledge required
· Training will be provided
· Salary 45k-55K
Compensation based on experience, excellent benefits including medical, dental, 401k, life insurance, STD LTD. If interested please submit resume to ngarcia@lakeviewhealth.us or fax to 954-691-0835.