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Affinity Home Health Care Inc logo

Behavioral Health Care Advocate

Affinity Home Health Care Inc
Posted 4 hours ago
🇺🇸United States🏠Remote📁Healthcare/Clinical
Is this job info correct?
Role: Remote STEM Care Advocate

Responsibilities

  • Conduct telephonic clinical reviews with Providers to ensure members receive effective outpatient care.
  • Perform inbound-queue based reviews across commercial, Medicaid, and Medicare behavioral health services.
  • Determine coverage alignment and collaborate with providers to optimize patient outcomes.

Qualifications & Skills

  • Strong knowledge of outpatient behavioral health services and insurance coverage policies.
  • Excellent communication and collaboration abilities.
  • Ability to perform clinical reviews reliably in a remote setting.

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