Behavioral Health Care Coordinator
Richardson Texas HQ (1001 E. Lookout Drive), United States
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.
#LI-Remote
This is a Telecommute (Remote) role for TX, OK, NM, MT and IL: Must reside anywhere within the posted State(s).
** 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**
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!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
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$60,300.00 - $133,400.00 ApplyJob Profile
IL MT Must reside in TX, OK, NM, MT, IL NM OK Remote role Sponsorship not available TX
Benefits/Perks401(k) savings plan Annual Incentive Bonus Annual performance incentive bonus Curated development plans Disability Insurance Employee Assistance Program Employee Referral Process Health and wellness benefits Incentives Inclusive workplace Life Insurance Meaningful benefits Paid holidays Paid parental leave Paid Time Off Pension plan Professional development Purpose-driven company Supplemental life insurance Tuition reimbursement
Tasks- Assist members via telephone
- Clinical review of behavioral health cases
- Decision making
- Interpret behavioral health diagnoses
- Review medical records
- Utilization review
- Utilize medical necessity criteria
Analytical Behavioral health Benefits Business Clinical Experience Clinical Review Communication Contract Interpretation Database Database experience Decision making Health care Insurance Medical necessity Organization PC Registered Nurse RN Utilization Review Verbal communication Wellness 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