Job Summary
A healthcare company is filling a position for a Remote Behavioral Health Care Management Clinician.
Candidates will be responsible for the following:
- Consulting with physician advisors to ensure clinically appropriate determinations
- Serving as a resource to internal and external customers
- Collaborating with other departments to resolve claims, quality of care, member or provider issues
Skills and Requirements Include:
- Knowledge of health insurance industry trends, technology and contractual arrangements
- General computer skills
- Familiarity with health care documentation systems
- Strong oral, written and interpersonal communication and customer service skills
- Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively
- Strong organization and time management skills with the ability to manage workload independently
