Behavioral Health Care Coord
Austin (9442 Capital of Texas Highway) Plaza 2
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Job SummaryThis 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.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.
- REMOTE WORK
PREFERRED JOB REQUIREMENTS:
- Utilization review experience.
*CA
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HCSC Employment Statement:
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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$58,800.00 - $130,100.00 ApplyJob Profile
Remote work preferred
Benefits/PerksEmployee Referral Process Growth Opportunities Inclusive workplace Professional development Purpose-driven work environment Remote work
Tasks- Assist members via telephone
- Clinical review of behavioral health cases
- Decision making
- Interpret behavioral health diagnoses
- Review medical records
- Utilize medical necessity criteria
Analytical Behavioral health Business Clinical Experience Clinical Review Communication Database Database experience Decision making Health care Medical necessity PC Registered Nurse RN Utilization Review Verbal communication Written communication
Experience3 years
EducationBusiness Masters in Behavioral Health Registered Nurse RN
CertificationsClinical license Registered Nurse
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9