Care Level Specialist

1 day ago


Marikina City, National Capital Region, Philippines beBeeClinical Full time $41,120 - $43,520
Job Overview

We are seeking a detail-oriented professional to support our care levels in the capacity of Clinical Review Specialist.

The ideal candidate will be a licensed clinical or medical professional familiar with behavioral health documentation and insurance requirements.

Key Responsibilities
  • Conduct peer reviews, case consultations, and interface with insurance payers to obtain continued authorization.
  • Review client charts, including progress notes, psychiatric evaluations, and medical vitals.
  • Maintain knowledge of insurance medical necessity criteria (e.g., ASAM, MCG, InterQual).
  • Document all interactions in the Electronic Medical Record (EMR) and participate in team meetings.
Required Qualifications
  • Minimum: Licensed Registered Nurse (RN)
  • Prior experience with utilization review, case management, or insurance authorization processes preferred.
  • Familiarity with insurance platforms and payer-specific guidelines required.
Job Requirements
  • This is a full-time job.
  • 100% Remote.

Please note that this position requires strong attention to detail and excellent communication skills.



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