Behavioral Health Care Coordinator Job at Innovative Systems Group, Richardson, TX

eWNraXRoN0wxSDlTNU1iSng4Q0dDbE9yQkE9PQ==
  • Innovative Systems Group
  • Richardson, TX

Job Description

Work Location: This is remote, in Texas. Manager prefers candidates near Austin or San Antonio , but open to Dallas/Fort Worth area. The manager is also open to candidates in NM if necessary

Contract: 2025-05-19 to 2025-12-31

Description:

The position is 100% on a clinical queue. It is staffed only with behavioral health clinicians because they are making clinical decisions to approve treatment requests or send for peer review doc to doc review. The clinicians take incoming calls from providers asking for authorization. There are times a member in crisis is routed to the queue and the clinician will assist the member through their crisis at that time.

  • If RN with BH experience, you must have a combo of MCO UM experience, direct care
  • THIS ROLE WILL TELECOMMUTE ON A FULL TIME BASIS WITHIN THE STATES OF NM, TX, OK, MT AND IL
  • Please note that you MUST be licensed to practice at the independent level for this role. The # of years of clinical experience required for this role is post licensure (# of years) at the independent level**

JOB SUMMARY:

This position is responsible for 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 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.

JOB REQUIREMENTS:

  • Masters-level Behavioral Health Professional ( LPC, LMFT, LCSW, LCPC, RPsy ) with current license to practice at the independent practice level OR Registered Nurse (RN) with Behavioral Health experience .
  • Current clinical license in state of operations and in good standings.
  • 3 years clinical experience (post licensure at the independent practice level) 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.

Job Tags

Full time, Contract work, Remote job,

Similar Jobs

Open Systems Technologies

PowerPoint Graphic Designer Job at Open Systems Technologies

San Francisco, CA - ON-SITE daily - no exceptions Working hours 9am-5:30PST PowerPoint Graphic Designer *Must include portfolio link *Solid design skills, but need to be higher-level design skills *Must be a PowerPoint expert and have strong presentation ...

Midwest Logistic Systems

Midwest Logistics Systems Dedicated truck driver Job at Midwest Logistic Systems

 ...Have a predictable daily home time work schedule. Drive the same out-and-back dedicated route and work with the same customers every day. Haul automotive parts in dry van trailers with newer trucks. Haul no-touch, mostly drop-and-hook freight. Work with onsite... 

TECHEAD

Sr. Safety Engineer Job at TECHEAD

 ...heritage, talent, and accomplishments! To learn more about TECHEAD, visit us at or on . Safety, Health & Environmental- Sr. Safety Engineer Contract: 5 Months 100% Onsite Local Candidates Only Nashville, TN Requirements: Role requires a 4-year degree... 

The Ohio State University Wexner Medical Center

Senior Medical Coding Educator and Data Consultant Job at The Ohio State University Wexner Medical Center

 ...documentation, identifying improvement opportunities, and creating education plans for coders, CDIs, and providers. This role is expected to...  ...(CCDS) by ACDIS Candidates with a Bachelors degree in Nursing will be considered in lieu of a Bachelors degree in Health Information... 

Alta Media USA

Vertical Short Drama Screenwriter/Producer Job at Alta Media USA

 ...production. Passion for the vertical short drama industry. If lacking vertical format experience, a strong understanding of Korean dramas is required. Creative thinker with a track record of developing original ideas. Strong communication and...