New York Licensed Clinical Peer Reviewer
Behavioral Health Market Context
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Job Description
s of Physical Therapy (MSPT)
Active, unrestricted NYS PT license
Minimum 5 years post-residency clinical practice
Experience in managed care or utilization management
Knowledge of rehabilitative medicine and PT clinical standards
Active, unrestricted NYS PT license
Minimum 5 years post-residency clinical practice
Experience in managed care or utilization management
Knowledge of rehabilitative medicine and PT clinical standards
Qualifications
- •Masters of Physical Therapy (MSPT)
- •Active, unrestricted NYS PT license
- •Minimum 5 years post-residency clinical practice
- •Experience in managed care or utilization management
- •Knowledge of rehabilitative medicine and PT clinical standards
Benefits
Responsibilities
- •Review prior authorization and concurrent review cases related to Outpatient Rehab services
- •Ensure compliance with regulatory standards and internal turnaround timeframes
- •Collaborate with Medical Directors and participate in the development of PT-related clinical policies
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