Utilization Review Clinician
CurrentIndividual will review case records to ensure proper utilization of treatment resources.Review consumer records for proper case documentation, and medical necessity of treatment in relation to federal, state, and county regulations.Assess continuing Treatment Plans; review records to ensure that the consumer is receiving proper and necessary treatment, and request authorizations.Review consumer admission data, clinical documentation,ensure compliance for medical necessity and case documentation.Assess records for appropriate treatment, after care, and discharge planning.