Behavioral Health Care Coordinator

Behavioral Health Care Coordinator

  Not Disclosed

  Richardson, TX

  6.0 Months

  Not Disclosed

  Not Disclosed

  Healthcare

Job Description

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:

Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, RPsy) with current license to practice at the independent practice level OR Registered Nurse (RN) with Behavioral Health experience.
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.

The position is 100% on a clinical queue. It is staffed only with behavioral health clinicians because they are making clinical decisions to approve treatment requests or send for peer review doc to doc review.
The clinicians take incoming calls from providers asking for authorization. There are times a member in crisis is routed to the queue and the clinician will assist the member through their crisis at that time.

Note :

Contract to Hire
This role will telecommute on a full-time basis within the states of NM, TX, OK, MT AND IL.
MUST be licensed to practice at the independent level for this role.
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.