Behavioral Health Care Coordinator
3 weeks ago
At Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
This role 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:
- Review behavioral health cases for medical necessity
- Assist members on the telephone
- Review medical records
- Utilize knowledge of medical necessity criteria
Requirements:
- Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC) 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 Requirements:
- Utilization review experience
Compensation:
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 Opportunity Employer:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued.
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