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Behavioral Health Care Specialist

2 months ago

Chicago, Illinois, United States HCSC Full time
Job Summary

This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity, including assisting members on the telephone, reviewing medical records, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care.

Key Responsibilities
  • Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, RPsy) with current license to practice at the independent practice level.
  • Current clinical license in state of operations and in good standing.
  • 3 years clinical experience (post licensure at the independent practice level) in psychiatric setting or own behavioral health practice.
  • Verbal and written communication skills.
  • Analytical and decision-making skills.
  • PC and database experience.
Preferred Qualifications
  • Utilization review experience.
Compensation and Benefits

The compensation for this position will vary depending on job-related skills, education, knowledge, and experience. This role aligns with an Annual Incentive Bonus plan.

Equal Employment Opportunity

HCSC is an Equal Opportunity Employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued.