Behavioral Health Care Coordinator

Innovative Systems Group; Austin (TX); Remote; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare organization is seeking a Behavioral Health Care Coordinator to manage clinical decisions for treatment requests. This remote role requires strong communication and analytical skills, along with a master's level or RN qualification. The position involves reviewing cases for medical necessity and assisting members in crisis situations. Candidates should have at least 3 years of clinical experience and be licensed to practice independently in Texas.

Qualifications

• At least 3 years of post-licensure clinical experience in psychiatric settings.
• Active clinical license in good standing.

Responsibilities

• Ensure accurate review of behavioral health cases for medical necessity.
• Assist members via telephone and review medical records.

Skills

Communication

Analytical skills

Decision-making

Education

Masters-level Behavioral Health Professional

Registered Nurse (RN)

Tools

PC

Database systems

Job description

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Work Location: This is a remote position based in Texas. The manager prefers candidates near Austin or San Antonio, but is open to candidates in the Dallas/Fort Worth area or in New Mexico if necessary.

Contract Duration: May 19, 2025, to December 31, 2025.

Job Description:

This role is 100% on a clinical queue staffed exclusively with behavioral health clinicians responsible for making clinical decisions to approve treatment requests or refer cases for peer review. Clinicians handle incoming calls from providers requesting authorization and may assist members in crisis situations.

• If RN with BH experience, must have a combination of MCO UM experience and direct care experience.
• Must be licensed to practice independently in the state of operation, with a minimum of the required post-licensure years of clinical experience at the independent level.

Job Responsibilities:

Ensure accurate and timely review of behavioral health cases for medical necessity, including assisting members via telephone, reviewing medical records, interpreting behavioral health diagnoses, and applying medical necessity criteria across various levels of care.

Qualifications:

• Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, RPsy) with current independent practice license OR a Registered Nurse (RN) with Behavioral Health experience.
• Active clinical license in the state of operation in good standing.
• At least 3 years of post-licensure clinical experience in psychiatric settings or private practice.
• Strong verbal and written communication skills.
• Analytical and decision-making abilities.
• Proficiency with PC and database systems.

Preferred Qualifications:

Seniority Level

• Associate

Employment Type

• Contract

Job Functions

• Administrative, Customer Service, Healthcare Provider

Industries

• Hospitals and Healthcare, Health and Human Services, IT Services and Consulting

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