About this opportunity
Oakland Community Health Network lists this Hybrid Utilization Management Clinician (Behavioral Health) opportunity in troy, Michigan. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Oakland Community Health Network in Troy, MI is seeking a full-time Utilization Management Clinical Analyst to lead prospective reviews of authorization requests for behavioral health services. You will apply clinical expertise to determine medical necessity and appropriate level of care, aligning with Medicaid guidelines and the Michigan Mental Health Code.
The role emphasizes collaboration with internal teams and providers, retrospective reviews, policy development, and continual quality
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Worksite address
troy, MI, 48083, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.