Clinical Review Therapist

6 days ago


Buffalo, New York, United States Centene Corporation Full time
Clinical Review Therapist Job Description

At Centene Corporation, we are seeking a skilled Clinical Review Therapist to join our team. As a Clinical Review Therapist, you will be responsible for performing clinical reviews of clinical therapy services and/or durable medical equipment to members based on service request assessments and providing clinical expertise based on practice standards.

Key Responsibilities:
  • Conduct thorough clinical reviews of therapy services and medical equipment to ensure quality and effectiveness.
  • Provide clinical expertise and guidance to members and healthcare providers based on practice standards and evidence-based research.
  • Collaborate with senior management to identify opportunities for process improvements and quality enhancements.
  • Develop and maintain knowledge of relevant laws, regulations, and industry standards related to clinical therapy services and medical equipment.
Requirements:
  • Master's degree in a related field, such as psychology, social work, or nursing.
  • Minimum 2 years of experience in clinical therapy services or medical equipment review.
  • Strong clinical expertise and knowledge of practice standards.
  • Excellent communication and interpersonal skills.

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