Behavioral Health Care Coordinator

Health Care Service Corporation•Tulsa, OK

1d•Remote

About The Position

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. 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.

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 TX, OK, NM, MT or IL. 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.
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 practice level
If a Registered Nurse (RN): must have at least 3 years psychiatric clinical experience (post licensure) of direct clinical care to the consumer.

Nice To Haves

Utilization review experience.

Responsibilities

ensuring accurate and timely clinical review of behavioral health cases for medical necessity
assisting members on the telephone
reviewing medical records
reviewing cases which involves 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 in-patient to out-patient office visits