Gainwell Technologies is seeking a Behavioral Health Prior Authorization Reviewer to adjudicate based on medical necessity and state guidelines in a 100% remote role. You will handle substance use, child/adolescent day treatment, and home therapy cases with no direct patient contact, focusing on utilization review and quality assurance.
You will review submissions across systems, enter outcomes into MMIS, and participate in stakeholder meetings while educating providers and recommending process
#J-18808-LjbffrRemote Behavioral Health Prior Authorization Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.