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Utilization Review Clinician: Medical Necessity & Appeals

Job in Santa Rosa, Sonoma County, California, 95402, USA
Listing for: Sacramento Behavioral Healthcare Hospital
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Healthcare Consultant, Mental Health
Job Description & How to Apply Below
A prominent mental healthcare facility in California is seeking a Utilization Review Clinician to monitor and optimize patient care. The role requires collaboration with a multidisciplinary treatment team, conducting admission reviews and payment appeals, ensuring medical necessity, and providing in-service training. Candidates should hold a valid clinical license and have a strong understanding of healthcare systems and third-party reimbursement. This position offers comprehensive benefits and opportunities for professional development.
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