Behavioral Health Care Coordinator RN License Required

Location: Remote
Compensation: Salary
Staff Reviewed: Mon, Feb 05, 2024
This job expires in: 9 days

Job Summary

A company is looking for a Care Coordinator, FEP Behavioral Health, who will perform medical necessity reviews and ensure compliance with criteria and policies.

Key Responsibilities:
  • Perform medical necessity reviews for inpatient, prospective, and retrospective cases
  • Consult with Medical Directors when care does not meet criteria or policies
  • Document clinical information accurately and in a timely manner
Required Qualifications:
  • Bachelor's degree or four years of work experience
  • Current State Licensure as a registered nurse
  • 3 years of clinical experience
  • Utilization Management experience
  • Experience working in a health plan industry

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