Behavioural Health Care Coordinator

Job Title: Behavioural Health Care Coordinator ( RN or Licensed Professional)
Job Location: Remote in NM
Job Duration: 7 months contract


Shift: Standard hours
 
Position Summary:

• This position is responsible for ensuring accurate and timely clinical review of behavioural health cases for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involve contract interpretation of behavioural health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioural health care from outpatient office visits to acute inpatient.

 
Qualifications/Requirements:

• Registered Nurse (RN) with active, current license or Masters-level Behavioural 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 behavioural health practice.
• Verbal and written communication skills.
• Analytical and decision-making skills.
• PC and database experience.

 
Preferred Requirement:
Utilization review experience.