Behavioral Health Care Coordinator - San Antonio

Only for registered members San Antonio, United States

1 month ago

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Job summary:

We are seeking a highly skilled Behavioral Health Care Coordinator to ensure accurate and timely clinical review of behavioral health cases for medical necessity.
This role involves assisting members via telephone, reviewing medical records,
interpreting contracts related to behavioral health diagnoses,
and applying medical necessity criteria across all levels of behavioral health care—from outpatient visits to acute inpatient services.
  • Conduct clinical reviews of behavioral health cases to determine medical necessity.
  • Assist members telephonically with inquiries and care coordination.
  • Review and interpret medical records
    and contractual guidelines for behavioral health diagnoses.

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