Behavioral Health Care Coordinator (NM, TX, OK, MT, IL)
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
THIS ROLE WILL TELECOMMUTE ON A FULL TIME BASIS WITHIN THE STATES OF NM, TX, OK, MT AND IL
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
JOB SUMMARY :
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 :
- Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, RPsy) 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
INAK
LI-KNH1
Relocation assistance will not be provided for this position.
Sponsorship will not be provided for this position.
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 :
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.
Behavioral Health Care Advocate - Louisiana License Required
Key Responsibilities:Conduct utilization review for behavioral health and substance abuse casesManage appropriate levels of care throughout treatment plansCoordinate benefits and transitions between different areas of careRequired Qualifications:Master's degree in Psychology, Social Work, Counseling...
Outpatient Pediatrician - Frisco, TX (Windhaven Clinic)
At Cook Children's, we're more than a health care system--we're your friends, neighbors and even family members. Cook Children's Physician Network has an exciting opportunity for a board certified/board eligible outpatient pediatrician, to join our dynamic group of physicians at our Cook Children's ...
HR / Hiring Specialist (Home Health Care)
Since 1996, Always Best Care has helped families with non-medical in-home care and assisted living placement services. Always Best Care clients receive extraordinary care in an inspiring environment with caring people. Our Care Coordinators have worked with more than 25,000 seniors across the c...
Wound Care Nurse Practitioner, In-Home Services - Dallas, TX
We have built the industry’s only complete in-home wound management program driven by clinical expertise, evidence-based guidelines, and innovative technology to deliver real-time responsive care plans, thereby standardizing wound care while improving healing outcomes and significantly reducing cost...
Associate Patient Care Coordinator - Dallas, TX
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employmen...
Network Operations Coordinator I
We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national o...
Physician Assistant - Primary Care - Sunnyvale, TX
Exceptional Family Practice Clinic. Comprehensive benefit package including health, life, dental, vision CME, Malpractice and 401k. PA Certification and TX license required. ...
Medical Mgmt Social Worker II (Richardson, Austin, Houston, San Antonio TX)
Familiarity with ancillary services including Home Health Care (HHC) or Skilled Nursing Facility (SNF). We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Coordinating Referrals For Behavioral Health Services Wh...
Referral and Care Coordinator - Part Time 20 hours per week
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrust...
Medical Director- TX Med Ops Commercial
We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national o...