Behavioral Health Care Coordinator
Richardson Texas HQ (1001 E. Lookout Drive)
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
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) 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 standings.
* 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 Job Requirements:
* Utilization review experience.
** Masters-level Behavioral Health Professionals: Please note that you MUST be licensed to practice at the independent level for this role. The # of years of clinical experience required for this role is post licensure (# of years) at the independent level**
#LI-Remote
This is a Telecommute (Remote) role for TX, OK, NM, MT and IL: Must reside anywhere within the posted State(s).
Work Schedule: (Non-negotiable) Monday through Friday 9:30 AM to 6:00 PM (Time Zone aligned).
Sponsorship is not available.
The Compensation/Salary offered for this Position will vary depending on Job-related skills, education, knowledge and experience. This role aligns with an Annual Performance Incentive (Bonus) plan.
We encourage people of all backgrounds and experiences to apply.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
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
MT Must reside in TX, OK, NM, MT, IL NM OK Remote role Sponsorship not available TX
Benefits/PerksAnnual performance incentive bonus Curated development plans Employee Referral Process Inclusive workplace Professional development Purpose-driven company
Tasks- Assist members via telephone
- Clinical review of behavioral health cases
- Decision making
- Interpret behavioral health diagnoses
- Review medical records
- Utilization review
Analytical Behavioral health Business Clinical Experience Clinical Review Communication Contract Interpretation Database Database experience Decision making Health care Medical necessity PC PC experience Registered Nurse RN Utilization Review Written communication
Experience3 years
EducationBusiness LCPC LCSW LMFT LPC Masters-level behavioral health professional 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