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Behavioral Health Case Management Coordinator

Remote: 
Full Remote
Salary: 
60 - 133K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

Registered Nurse (RN) or Master's/Doctoral degree in Behavioral Health., Current, valid clinical license in state of operations., 2 years clinical experience in direct care., Utilization management or managed care experience..

Key responsabilities:

  • Perform behavioral health case management.
  • Consult with physicians and providers to assess and coordinate care.
Health Care Service Corporation logo
Health Care Service Corporation XLarge https://www.hcsc.com/
10001 Employees
About Health Care Service Corporation
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.
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Job description

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.

Job Summary

This position is responsible for performing behavioral health case management in accordance with accepted department criteria. Consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individual and family comprehensive health needs. Using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.

Required Job Qualifications:

  • Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, LMFT, Licensed PhD Psychologist) with a license to practice at the independent level in this field. Current, valid, unrestricted clinical license in state of operations.
  • 2 years clinical experience of direct clinical care to the consumer.
  • Utilization management, discharge planning or managed care experience.
  • Customer service oriented.
  • PC and database experience.
  • Verbal and written communication skills.


Preferred Job Qualifications:

  • Case Management Certification (CCM).
  • 3 years clinical practice experience.
  • Familiarity with ancillary services, for example, wellness or community-based programs (housing, family support services).
  • Provider side insurance experience.
  • Familiarity with Utilization Management or Case Management activities and standardized criteria sets.
  • Bilingual in English/Spanish

This is a Telecommuter (Remote) role: Must reside within 250 miles of the office

#LI-LO1
#LI-Telecommute
 

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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.

Base Pay Range
$60,300.00 - $133,400.00

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.
Are you interested?

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