Optum reviews

Full time work doing utilization reviews for routine outpatient psychotherapy. 20% of all review must be referred to a 'higher level review' which is code for denying ongoing outpatient therapy. If you don't refer 20% of cases for those higher level reviews or 'peer reviews' you won't be meeting your metrics and could be let go. The whole department is a scam. It's meant to 'offer savings' to employers who offer Optum to their employees, but really it's a way to deny outpatient therapy to members to put more money in the CEO's pocket.