W3R Consulting · 3 hours ago

Behavioral Health Care Coordinator

Texas, United States

Full-time

Remote

Mid Level

$40/hr - $40/hr

3+ years exp

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Taresh Ezava

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Responsibilities

Ensuring accurate and timely clinical review of Behavioral health cases for medical necessity

Assisting members on the telephone on a call queue

Reviewing medical records

Reviewing cases which involve contract interpretation of Behavioral health diagnoses

Utilizing knowledge of medical necessity criteria for all levels of Behavioral health care from outpatient office visits to acute inpatient

Qualification

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Registered Nurse (RN)Masters-level Behavioral Health ProfessionalClinical licenseClinical experiencePC experienceDatabase experienceUtilization review

Required

Registered Nurse (RN) with active, current license or Masters-level Behavioral Health Professional with active, current license to practice at the independent practice level.

Current clinical license to practice in state of operations and in good standings.

3 years clinical experience in psychiatric setting or own Behavioral health practice.

Verbal and written communication skills.

Analytical and decision-making skills.

PC and database experience.