Encompass Health Solutions, Inc.

The Health Care Professional performs first-level utilization reviews of treatment authorization requests by applying evidence-based clinical guidelines. They are responsible for determining clinical completeness, approving requests when criteria are met, and referring complex cases to Physician Reviewers.

The Health Care Professional performs first-level utilization reviews of treatment authorization requests by applying evidence-based clinical guidelines. They communicate with providers, manage documentation, and refer complex cases to Physician Reviewers while ensuring regulatory timeframes are met.