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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's and family's 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, LCPC, LMFT, RPsy) with a license to practice at the independent level in this field.
*Current, valid, unrestricted clinical license in state of TX, OK , NM, MT or IL.
*2 years psychiatric clinical experience (post licensure at the independent practice level) 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:
*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 practice level
*If a Registered Nurse (RN): must have at least 2 years psychiatric clinical experience (post licensure) of direct clinical care to the consumer.
*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 or English/Polish
#LI-FW1
#LI-Remote
This is a Telecommute (Remote) role for TX, OK, NM, MT and IL.
Sponsorship is not available
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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 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 employer dedicated to providing a welcoming environment where the unique differences of our employees are 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
Exact compensation may vary based on skills, experience, and location.
