Utilization Review and Appeals LCSW
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Clinical leader with 10 years of extensive expertise in Utilization Review and Management, regulations and compliance, leading teams to enhance efficiency and client retention. Adept at clinical supervision, appeals management, and process development, fostering strong interdepartmental relationships to ensure high-quality patient care and regulatory adherence.
I have worked for insurance and facilities on both side of utilization review doing precertifications, concurrents, retrospective reviews, and appeals through external. I have experience in supervision and quality management.
