Behavioral Health Care Coord
Location: Albuquerque New Mexico
Description: Blue Cross Blue Shield New Mexico is looking of Behavioral Health Care Coord right now, this career will be placed in New Mexico. More details about this career opportunity kindly see the descriptions. BASIC FUNCTION:
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on ! the telephone, reviewing medical records, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute in-patient to out-patient office visits.
1) Masters-level Behavioral Health Professional with current license OR Registered Nurse (RN) with current license. Current clinical license in the state of NM in good standing;
2) 3 years clinical experience in psychiatric setting or own behavioral health practice;
3) Ability and willingness to travel within assigned areas of responsibility and meet with members for face to face coordination;
4) Verbal and written communication skills;
5) Analytical and decision making skills;
6) PC and database experience.
PREFERRED JOB REQUIREMENTS:
1) Utilization review and/or case management review experience.
**Multiple positions! are available throughout New Mexico**
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If you! were eligible to this career, please email us your resume, with salary requirements and a resume to Blue Cross Blue Shield New Mexico.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Sun, 22 Sep 2013 09:30:38 GMT