…You will determine the efficacy of therapeutic interventions, technologies and outcomes and the utilization of support personnel. + You will work as a part of a

…has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring

…within territory including but not limited to review of treatment plans, review of monthly client utilization , review of weekly/monthly supervision and

…insurance billing and reconciliation of claims. . Performs prospective drug utilization review (DUR) for drug-interactions and incompatibilities. . Dispenses

…community. + Ensure day-to-day processes are conducted in accordance with the Utilization Review Accreditation Commission (URAC) and other regulatory standards.

…in multidisciplinary team (MDT) meetings. + Participates in Quality Assurance (QA) and Utilization Review (UR) activities. + Other duties as assigned by

…universities. Assists management in department functions and special projects, ie, utilization review , quality assurance, program development and committee work.

…current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval.* Participates

…monthly individual counseling services to patients. + Conducts intakes, assessment and utilization review services. + Ensures compliance with all documentation

…participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.). + Communicate