Description & Requirements
Essential Duties and Responsibilities:
- Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements.
- Issue approvals, denials or recommendations based on contract requirements.
- Identify need for additional clinical documentation or consultation.
- Complete documentation of activities within contract systems.
- Communicate with providers, individuals and their designees, or state workers as required.
- Performs other related duties as assigned.
**********Minimum Requirements:
- Master's degree required
- Current LCSW or LMSW with license valid in the state of practice is required
- Education and licensure requirements are based on program contract requirements and are outlined in job posting