Behavioral Health Care Coordinator - Part-Time, Exempt Position (Req# R0010200)
THIS IS A TELECOMMUTER ROLE FOR OUR ALBUQUERQUE, CHICAGO, RICHARDSON AND TULSA HEADQUARTERS
Chicago, IL  / Albuquerque, NM  / Richardson, TX 
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Posted 22 days ago
Job Description

**THIS IS A TELECOMMUTER ROLE FOR OUR ALBUQUERQUE, CHICAGO, RICHARDSON AND TULSA HEADQUARTERS**
**Position is Part-Time, Exempt status – 32 hours/week, with evenings and weekends schedule**
**Work Hours every week are: one 8 hour shift on Friday nights from 12:30 am-8:30 am (Saturday morning) and two 12-hour shift from 8:30 pm - 8:30 am on Saturday and Sunday nights**.
*MUST HAVE: At least 3 years clinical experience post licensure at the independent practice level in psychiatric setting/outpatient facility, or own behavioral health practice.*



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) with current license 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 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.


Relocation assistance will not be provided for this position.


Sponsorship will not be provided for this position.

 

 


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.

 

Special Notes/Instructions
Must work evenings and weekends schedule. Work Hours are one 8 hour shift on Friday nights from 12:30 am-8:30 am (Saturday morning) and two 12-hour shift from 8:30 pm - 8:30 am on Saturday and Sunday nights.
Contact Information
**THIS IS A TELECOMMUTER ROLE FOR OUR ALBUQUERQUE, CHICAGO, RICHARDSON AND TULSA HEADQUARTERS**
Job Summary
Employment Term and Type
Regular, Full Time
Hours per Week
32
Required Education
Master's Degree
Required Experience
3+ years
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