Behavioral Health Care Coordinator

w3r Consulting; Austin (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading company in behavioral health consulting is seeking a Masters-level Behavioral Health Professional to ensure accurate clinical reviews of cases. The role involves assisting members and reviewing medical records, requiring strong communication and analytical skills. Ideal candidates will have a current clinical license and at least 3 years of experience in a psychiatric setting.

Qualifications

• Active clinical license to practice independently.
• At least 3 years of clinical experience in a psychiatric setting.
• Strong analytical and decision-making skills.

Responsibilities

• Ensure accurate and timely clinical review of behavioral health cases.
• Assist members on the telephone and review medical records.
• Interpret behavioral health diagnoses and apply medical necessity criteria.

Skills

Verbal communication

Written communication

Analytical skills

Decision-making skills

Database management

Education

Masters-level Behavioral Health Professional

Job description

This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity, including:

1. Assisting members on the telephone
2. Reviewing medical records
3. Reviewing cases involving contract interpretation of behavioral health diagnoses
4. Utilizing knowledge of medical necessity criteria for all levels of behavioral health care, from outpatient office visits to acute inpatient care

JOB REQUIREMENTS :

• Masters-level Behavioral Health Professional with an active, current license to practice independently.
• Current clinical license to practice in the state of operations and in good standing.
• At least 3 years of clinical experience 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 management.