Main Areas of Responsibility:
The County of San Diego Health and Human Services Agency's Behavioral Health Services has immediate openings for
Utilization Review Quality Improvement Specialist
Utilization Review Quality Improvement Specialists chart and interpret medical records for utilization review and reviews medical records for medical necessity and Medi-Cal compliance in County operated inpatient, outpatient, day treatment, and contracted facilities. The current vacancy is located at Behavioral Health Services, 3255 Camino del Rio South, San Diego.
The Utilization Review Quality Improvement Specialist position has two options: One is focused on the quality management of mental health programs and the other for substance use disorders programs.
Note: Quality improvement, utilization review, peer review, or other chart review experience is highly desirable.