PRN Clinical Reviewer - Substance Use (LPCC, LMFT, LICSW)
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Job Description
Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Job Summary Clinical Reviewer β Substance Use β LPCC, LMFT, LICSW β PRN (Remote U.S.) Responsible for reviewing and interpreting patient records against American Society of Addiction Medicine (ASAM) criteria to determine medical necessity and appropriateness of care. Manage workload, attend training, maintain accuracy and timeliness, monitor quality, and serve as liaison with providers and internal customers. Responsibilities Review and interpret patient records against ASAM criteria to determine medical necessity and appropriateness of care. Attend training and scheduled meetings; maintain and use current/updated information for review. Ensure accuracy and timeliness of all applicable review type cases within contract requirements. Assess, evaluate, and address daily workloa...