Behavioral Health Care Coord

Job ID: BL-1052060

Description:

Telecommuter position

BASIC FUNCTION:

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, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute in-patient to out-patient office visits. This position also works with Crisis Calls.

JOB REQUIREMENTS:

• Registered Nurse (RN) with current license or Masters-level Behavioral Health Professional with current license to practice at the independent practice level. Current clinical license in state of operations and in good standings.

• 3 years clinical experience in psychiatric setting or own behavioral health practice.

• Verbal and written communication skills.

• Analytical and decision making skills.

• PC and database experience.

PREFERRED JOB REQUIREMENTS:

• Familiarity with ancillary services, for example, wellness or community-based programs (housing, family support services).

• Care Coordination experience.

• Utilization review experience.

• Experience with Crisis Calls.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Expertise Behavioral Health Job Type Full-Time Regular Location OK - Tulsa, TX - Richardson, IL - Chicago, NM - Albuquerque