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Responsibilities:
- Review clinical data to meet medical necessity criteria.
- Requires knowledge of clinical protocols and clinical review requirements.
- Ensures accurate information is entered into claims system.
Qualifications:
- Bachelor of Science in Nursing, Masters of Counseling, OR Masters of Social Work, OR Marriage and Family Therapy REQUIRED
- Current license as LCSW, LPC, LMFT, or RN in Virginia REQUIRED
- 2 years of behavioral health experience REQUIRED.
Benefits:
- Medical, Dental, and Vision plans
- Adoption, Fertility and Surrogacy Reimbursement
- Tuition Assistance and Student Debt Pay Down
Sentara Health
Sentara Health is a not-for-profit integrated healthcare provider based in Virginia and Northeastern North Carolina that has been in business for over 131 years. It has close to a 30,000-member workforce, and diversity, inclusion, and belonging is a guiding principle of the organization.