Behavioral Health Care Coordinator - ABA / Board Certified Behavior Analyst

Enterprise HCM; Richardson (TX); Remote; USD 60,000 - 134,000; Full time

Job summary

A health services company is looking for a clinical reviewer to ensure the accuracy of behavioral health cases. You must hold a current RN license or a master's level behavioral health qualification and have at least 3 years of clinical experience. This is a remote position that requires residency within 250 miles of the office. Compensation ranges from $60,300 to $133,400 depending on experience and location.

Qualifications

• Current license to practice at the independent practice level in TX, OK, NM, MT, and IL.
• 3 years clinical experience in psychiatric or behavioral health setting.

Responsibilities

• Ensure accurate clinical review of behavioral health cases.
• Assist members on the phone and review medical records.
• Utilize knowledge of medical necessity criteria for behavioral health care.

Skills

Verbal and written communication skills

Analytical and decision making skills

PC and database experience

Education

Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, BCBA, RPsy)

Job description

Overview

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for ensuring accurate and timely clinical review of behavioral health cases (Applied Behavior Analysis (ABA)) for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involves 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 in-patient to out-patient office visits, especially of Applied Behavior Analysis (ABA) as appropriate for treatment within the Autism Spectrum Diagnoses (ASD).

Responsibilities

Job Requirements

• Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, BCBA, RPsy) with current license to practice at the independent practice level in TX, OK, NM, MT and IL.
• 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.
• 3 years clinical experience in psychiatric setting or behavioral health practice providing and/or supervising ABA treatment.
• Experience in a school setting or working with individuals with ASD (Autism Spectrum Diagnoses).

Relocation assistance will not be provided for this position.

Sponsorship will not be provided for this position.

This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

Compensation: $60,300.00 - $133,400.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please visit https://careers.hcsc.com/totalrewards