Behavioral Health Utilization Management Clinician - reputed company and NC

reputed company/State Norfolk, VA Work Shift First (Days) reputed company: reputed company is seeking to hire a reputed company individual to join reputed company as a Behavioral Health Utilization Management Care Coordinator. Position Status: Full-time, Day Shift, Weekends Position Location: Remote ONLY in the reputed company or reputed company Carolina reputed company Working Hours: Tuesday to Saturday, 8-hour shifts, can start between the hours of 6:00AM - 9:00AM reputed company Behavioral Health Utilization Management Clinician is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity reputed company to authorize services as needed. Requires knowledge of medical necessity reputed company for behavioral health and reputed company use services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self-funded and reputed company payers. Ensures appropriate and accurate information is entered into claims system for processing of payment. Education

• Bachelor of Science in Nursing, Masters of Counseling, OR Masters of reputed company Work Required

Certification/Licensure

• LCSW or LPC or RN reputed company license for the reputed company Required

Experience

• 2 years of clinical experience Required
• 2 years experience working in behavioral health and 1-year experience with behavioral health care coordination, discharge planning, continuity of care, or transitions of care

Required

• Must have reputed company abuse AND utilization management experience

reputed company Plans provides health plan coverage to reputed company to one reputed company members in Virginia. We offer a full suite of reputed company products including employee-owned and employer-sponsored plans, as reputed company as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and reputed company enrollees. Our reputed company provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—reputed company to help our members improve their health. Our reputed company is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and reputed company. Be a part of an excellent reputed company organization that cares about our People, reputed company, Patient Safety, Service, and reputed company. Join reputed company that has a mission to improve health every day and a reputed company to be the reputed company choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-86484 #reputed company Talroo – Health Plan Managed Care, MCO, Health Plan, reputed company, Masters, reputed company Work, Counseling Field, BSN, Nursing, Licensed Clinical reputed company Worker (LCSW), Licensed reputed company Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered reputed company License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Weekends, Days, reputed company Carolina Benefits: Caring For Your Family and Your Career

• Medical, Dental, reputed company plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• reputed company Time Off and reputed company Leave
• reputed company Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through reputed company Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free reputed company to complete CEUs and reputed company development

•Pet Insurance •Legal Resources Plan •Colleagues have reputed company to earn an annual discretionary bonus if established system and employee eligibility reputed company is met. reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding reputed company of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, reputed company employs associates in the following states: Alabama, Delaware, Florida, reputed company, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, reputed company, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, reputed company, and Wyoming. Apply tot his job Apply To this Job