Addiction and Recovery Treatment Services (ARTS) Care Coordinator (LCSW/LPC/LMFT/RN) - Remote i[...]

Sentara Healthcare Inc; Norfolk (VA); Remote; USD 55,000 - 75,000; Full time

Job summary

A healthcare organization in Virginia is seeking a full-time remote Addiction and Recovery Treatment Services Care Coordinator. This role involves reviewing clinical data for service authorization and requires a Bachelor's degree in Nursing or related field, alongside state licensure. Candidates should have 2 years of behavioral health experience and case management skills. The organization values its people and fosters a supportive community, aiming to improve health every day.

Qualifications

• Requires knowledge of managed care contracting and compliance requirements.
• Must have a current license for the state of Virginia.

Responsibilities

• Review clinical information to meet Medical Necessity Criteria for authorizing services.
• Ensure accurate information is entered into claims system.

Skills

Behavioral health knowledge

Case management

Substance use experience

Education

Bachelor of Science in Nursing or Master's degree related to Counseling/Social Work

Job description

Sentara Health is currently seeking a full-time remote Addiction and Recovery Treatment Services (ARTS) Care Coordinator in Virginia!

Position Status: Full-time, Day Shift

Position Location: Remote in the state of Virginia

Standard Working Hours: Monday - Friday, 8:00AM - 5:00PM EST.

Overview

The Addiction and Recovery Treatment Services (ARTS) Care Coordinator is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, BH and ARTS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment

Education

• Bachelor of Science in Nursing, Masters of Counseling, OR Masters of Social Work, OR Marriage and Family Therapy REQUIRED

Certification/Licensure

• Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) or Licensed Marriage and Family Therapist (LMFT) or Registered Nurse License (RN) current license for the state of Virginia REQUIRED
• LMHP- S, LMHP-R may be considered if actively working towards licensure and prior experience is present.

Experience

• 2 years of behavioral health REQUIRED
• 1 year of case management REQUIRED
• Must have at least 1 year experience with substance use
• Certified Substance Abuse Counselor (CSAC) preferred, but not required.

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!