Virginia Licensed Care Coordinator

Sentara Healthcare; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization is seeking a remote Addiction and Recovery Treatment Services Care Coordinator in Virginia. The ideal candidate will hold a relevant degree and current licensure, with experience in behavioral health care coordination. Responsibilities include reviewing clinical information and ensuring compliance with regulatory requirements. This role offers an opportunity for professionals in the mental health field to contribute significantly to patient care.

Qualifications

• Bachelor's degree or higher in a relevant field.
• Current Virginia licensure as LCSW, LPC, LMFT, or RN.
• 2 years of clinical experience in behavioral health.

Responsibilities

• Ensure clinical information meets Medical Necessity Criteria.
• Maintain knowledge of managed care contracting and regulatory compliance.
• Enter accurate information into the claims system.

Skills

Behavioral health experience

Clinical review knowledge

Care coordination

Substance use knowledge

Education

Bachelor of Science in Nursing

Masters of Counseling

Masters of Social Work

Marriage and Family Therapy

Job description

A company is looking for an Addiction and Recovery Treatment Services (ARTS) Care Coordinator (LCSW/LPC/LMFT/RN) to work remotely in Virginia.

Key Responsibilities

• Review clinical information to ensure it meets Medical Necessity Criteria for service authorization
• Maintain knowledge of managed care contracting, regulatory compliance, and clinical review requirements
• Ensure accurate information is entered into the claims system for payment processing

Required Qualifications

• Bachelor of Science in Nursing, Masters of Counseling, OR Masters of Social Work, OR Marriage and Family Therapy
• Current license as LCSW, LPC, LMFT, or RN in Virginia
• 2 years of clinical experience in behavioral health
• 1 year of experience in behavioral health care coordination or transitions of care
• Experience with substance use preferred but not required