Behavioral Health Care Coordinator

Mindlance; Chicago (IL); Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare company is seeking a remote clinical reviewer to ensure accurate and timely assessment of behavioral health cases. Ideal candidates should hold an RN or a Masters in Behavioral Health with valid licenses and at least 3 years of psychiatric clinical experience. Strong communication and analytical skills are essential for this role.

Qualifications

• Licensed RN or Masters-level Behavioral Health Professional required.
• 3 years clinical experience in psychiatric setting required.
• Good standing with state clinical license required.

Responsibilities

• Conduct clinical review of behavioral health cases.
• Assist members via phone and handle medical records.
• Utilize knowledge of medical necessity criteria.

Skills

Verbal communication

Written communication

Analytical skills

Decision making

PC experience

Database experience

Education

Registered Nurse (RN) license

Masters-level Behavioral Health Professional license

Job description

Overview

This position is remote.

Responsibilities

• 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 involve 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 inpatient.

Job Requirements

• Registered Nurse (RN) with active, current license or Masters-level Behavioral Health Professional with active, current license to practice at the independent practice level.
• Current clinical license to practice 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.

EEO

“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”