Remote Behavioral Health Care Coordinator 30316

One of the largest health insurers in the nation is focused on continuously building an industry-defining, world-class IT capability.Healthcare is forever evolving, especially due to emerging technologies, making this a great experience to add to your resume.Come join their winning team!This contract role as a Remote Behavioral Health Care Coordinator is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone.Pay Rate :$36.36 - $40.00 per hourResponsibilities :Ensure accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone.Review medical records.Review cases which involve contract interpretation of behavioral health diagnoses.Utilize knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute inpatient.Job Requirements :Registered Nurse (RN) with active, current license or Masters-level Behavioral Health Professional with active, current license to practice at the independent practice level.Current clinical license to practice in state of operations and in good standings.3 years clinical experience in psychiatric setting or own behavioral health practice.Verbal and written communication skills.Analytical and decision-making skills.PC and database experience.Preferred Job Requirements :Utilization review experience.Benefits :Solving IT, a Woman and LGBTQowned and operated organization is thrilled to provide a comprehensive benefit package to all our W2 employees and their families, regardless of gender.We are proud to offer five diverse health plan options as well as a PPO dental plan through Blue Cross Blue Shield, Term Life / AD&D Insurance, and a 401(k) Savings Plan.Solving IT covers a portion of the health and dental premiums for our employees.As you progress in your professional journey, Solving IT is dedicated to accommodating your evolving preferences and matching you with fulfilling projects.We champion equality and embrace diversity in all its forms.Creating an atmosphere that encourages varied perspectives to collaborate fosters personal development, strengthens team unity, and contributes to the overall success of the organization!Whether you're seeking your next career challenge or aiming to stay abreast of industry trends, Solving IT is committed to supporting your career advancement.We actively encourage applications from all backgrounds and utilize the most up-to-date market insights and compensation data to ensure that you receive not just advice, but the complete Solving IT Experience.Id :30316. Experience: 3 years required