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.
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.
Job Requirements :
Preferred Job Requirements :
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.
Compensation : $60,300.00 - $133,400.00
Exact compensation may vary based on skills, experience, and location
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.
To learn more about available benefits, please click https : / / careers.hcsc.com / totalrewards