NCMMIS is in search of 1 Therapist Reviewer.
Labor Category – Therapist Reviewer
Temp position (conversion to CSRA possible)
Selection based upon candidate's ability to meet Basic Qualifications at the best value.
Rate will need to be established on agreement prior to starting of approved candidate. If rate is not already established please inquire with SCA on NTE Program rate prior to submitting candidates/proposed rate.
Analyzes durable medical equipment (DME) prior approval requests for NC Medicaid to ensure compliance with clinical guidelines
Performs review of documentation submitted prior approval requests for DME services to determine if the recipient is eligible for the services being requested
Therapist Reviewer - Performs reviews of prior approval requests submitted by enrolled providers. Escalates problems to appropriate personnel, as appropriate. - Bachelor's degree or equivalent combination of education and experience - Two years allied health experience
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