Behavioral Health Justice Care Coordinator - Hybrid
Behavioral Health Justice Care Coordinator - Hybrid
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Job Description
City/State
Richmond VAWork Shift
First (Days)Overview:
Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Justice Care Coordinator.
Position Status: Full-time day shift
Position Location: Hybrid. Must be able to travel to jails at least once a month - 3 times a quarter in the Richmond area.
Standard Working Hours: Monday - Friday 8:00AM to 5:00PM
Overview
Behavioral Health Utilization Management Care Coordinator is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting Medical Necessity CMHRS services BH and ARTS services DMAS protocols clinical protocols and clinical review requirements. Requires knowledge of contractual regulatory and compliance requirements for government payers self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment.
Education
Bachelor of Science in Nursing Masters of Counseling OR Masters of Social Work Required
Certification/Licensure
LCSW or LPC or LMFT or RN current license for the state of Virginia. LMHP- S LMHP-R may be considered if actively working towards licensure and prior experience is present.
Experience
2 years of experience working in behavioral health Required
1 year of experience with behavioral health care coordination discharge planning continuity of care or transitions of care Required
Must have experience a year of experience working with the jail system or working with members on probation
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Employment Type
Full-Time
