Behavioral Health Care Coordinator
Posted on: May 4, 2021
We are the Health Care Management division of HCSC - a team of
dedicated nurses, doctors and other clinicians. Everything we do,
and every decision we make, aims to help our members live their
most healthy lives. We treat the whole person with integrated
pharmacy, physical and mental health care benefits.
We're also tackling the social determinants of health by creating
non-clinical partnerships in the communities where we work and
live, because everyone should have access to quality health care.
We use innovative tools and approaches to help members get the most
out of their plan benefits, as affordably as possible. We are more
than a health care insurer and we are truly anchored in our
purpose: to do everything in our power to stand by our members in
sickness and in health.
There are 2 openings for this role
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
*Registered Nurse (RN) with current license or Masters-level
Behavioral Health Professional 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.
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.
Expertise Behavioral Health Job Type Full-Time Regular Location OK
- Tulsa, TX - Richardson, IL - Chicago, NM - AlbuquerquePandoLogic.
Keywords: Health Service Coordinator, Location: Albuquerque, NM -
Keywords: HCSC, Albuquerque , Behavioral Health Care Coordinator, Healthcare , Albuquerque, New Mexico
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