Common use of The Utilization Management Director must Clause in Contracts

The Utilization Management Director must. Be an Ohio-licensed registered nurse, APRN, or a physician with a current unencumbered license through the Ohio State Medical Board with experience in the activities of utilization management, in accordance with 42 CFR 438.210. The Utilization Management Director must have at least three years' experience providing direct behavioral health care coordination or oversight for children and adolescents with complex behavioral health needs; Preferably be certified as a Certified Professional in Health Care Quality by the NAHQ or CHCQM by the American Board of Quality Assurance and Utilization Review Providers; and

The Utilization Management Director must. Be an Ohio-licensed registered nurse, APRN, nurse or a physician with a current unencumbered license through the Ohio State Medical Board with experience in the activities of utilization management, in accordance with 42 CFR 438.210. The Utilization Management Director must have at least three years' experience providing direct behavioral health care coordination or oversight for children and adolescents with complex behavioral health needs; Preferably be certified as a Certified Professional in Health Care Quality by the NAHQ or and/or CHCQM by the American Board of Quality Assurance and Utilization Review Providers; andand Report through the Medical Director/CMO.