Title: RN- Behavioral Health Care Coordinator
Location: 1001 E Lookout Dr Richardson Texas 75082 United States
Employment Type: 6 months Contract
hashtag#JobSummary:
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity. Responsibilities include assisting members on the telephone, reviewing medical records, interpreting contracts for behavioral health diagnoses, and applying medical necessity criteria for all levels of behavioral health care, from outpatient office visits to acute inpatient care.
hashtag#JobRequirements:
✅ 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 standing.
✅ 3 years of clinical experience (post-licensure at the independent practice level) in a psychiatric setting or own behavioral health practice.
✅ Strong verbal and written communication skills.
✅ Excellent analytical and decision-making skills.
✅ Proficiency with PC and database systems.
hashtag#PreferredRequirements:
Utilization review experience.
If an RN with BH experience, must have a combination of MCO UM experience and direct care experience.
hashtag#AdditionalDetails:
This role will telecommute on a full-time basis within the states of NM, TX, OK, MT, and IL.
Please note that you MUST be licensed to practice at the independent level for this role. The required years of clinical experience must be post-licensure at the independent level.
Job Type: Contract
Pay: $21.03 - $25.33 per hour
Medical specialties:
Standard shift:
Weekly schedule:
Experience:
- Nursing: 1 year (Preferred)
License/Certification:
- BLS Certification (Preferred)
- RN (Preferred)
Ability to Commute:
- Richardson, TX 75082 (Required)
Ability to Relocate:
- Richardson, TX 75082: Relocate before starting work (Required)
Work Location: In person