Virginia Licensed Behavioral Health Coordinator

Job Summary

A company is looking for a Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) to work remotely in Virginia and North Carolina.

Key Responsibilities

• Review clinical information to ensure it meets Medical Necessity Criteria for service authorization
• Maintain knowledge of medical necessity criteria, DMAS protocols, and compliance requirements
• Enter accurate information into the claims system for payment processing

Required Qualifications, Training, and Education

• Master's Degree in Social Work or Counseling or Bachelor's Degree in Nursing is required
• Current license as LCSW, LPC, LMFT, or RN in Virginia is required
• Two years of clinical experience is required
• Two years of experience in behavioral health and one year in care coordination is required
• One year of case management experience is preferred