Clinical Review Coordinator

1 day ago


Baguio City, Cordillera, Philippines beBeePeerReview Full time $20,000 - $22,000
Job Overview

We are seeking a detail-oriented and highly skilled professional to support our Residential, PHP, and IOP levels of care.

This individual will be responsible for conducting comprehensive reviews, case consultations, and interfacing with payers to obtain continued authorization.

Key Responsibilities:
  • Conduct thorough chart reviews prior to reviews.
  • Review progress notes, psychiatric evaluations, history and physical exams, nursing assessments, and lab reports.
  • Collaborate with clinical and medical team members to gather updated information that supports medical necessity.
  • Maintain knowledge of insurance medical necessity criteria.
  • Document all interactions accurately in the Electronic Medical Record or designated systems.
Required Qualifications:
  • Minimum: Licensed Registered Nurse (RN)
  • Preferred: Nurse Practitioner (NP), Medical Doctor (MD/DO), Licensed Therapist (LCSW, LPC, LMFT, PsyD, PhD)
  • Experience in behavioral health, substance use, or psychiatric care.
Benefits

Our organization offers opportunities for growth and development in a dynamic environment.

What We Offer

Competitive compensation and benefits package.



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