Utilization Clinical Reviewer (Remote within State of California)
Acentra Health
Los Angeles, california
Acentra Health is seeking a skilled Clinical Reviewer to join our growing team in California.
Job Summary
As a Utilization Clinical Reviewer, you will leverage your expertise to meticulously assess medical records against established criteria. Using critical thinking and sound judgment, you will evaluate the medical necessity of psychiatric inpatient care to ensure appropriate utilization of services. This role is pivotal in maintaining the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process, aligned with the California Mental Health Services Authority (CAMHSA) and guided by NCQA, URAC, and other regulatory standards.
This is a full-time remote position requiring residence and active licensure in California, offering you an opportunity to make a meaningful impact without direct patient contact.
A current California LCSW, LMFT, LPCC, or LCPC license is required....