Utilization Review Specialist

1 week ago


Fresno, California, United States Fresno County, CA Full time
Job Title: Utilization Review Specialist

Fresno County, CA is seeking a skilled Utilization Review Specialist to join our team. As a key member of our Behavioral Health Department, you will play a crucial role in ensuring the proper utilization of treatment resources for our clients.

Responsibilities:
  • Review client health records to ensure compliance with federal, state, and county regulations.
  • Perform a variety of assignments within quality assurance and/or substance use disorder programs.
  • Collaborate with healthcare providers to ensure proper case documentation and medical necessity.
Requirements:
  • Two (2) years of full-time, paid, post-licensure work experience providing direct behavioral health care services.
  • Valid State of California license as a Licensed Clinical Social Worker, Licensed Professional Clinical Counselor, Licensed Marriage and Family Therapist, or Registered Nurse.
  • Ability to pass initial credentialing and re-credentialing requirements.
What We Offer:
  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.

Fresno County is an equal opportunity employer and welcomes applications from diverse candidates. If you are passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity.



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