Sentara

Behavioral Health Utilization Management Care Coordinator- Whole Person Care for Residential Facilities- Hybrid in the Central Virginia

Sentara(26 days ago)

HybridFull TimeMedior$82,947 - $111,488 (estimated)Behavioral Health
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About this role

A Behavioral Health Utilization Management Care Coordinator at Sentara Health Plans is a clinical health-plan role supporting authorization and utilization review of behavioral health services for members in Central Virginia. This full-time, hybrid position is based in Richmond/Petersburg and includes regular travel to residential facilities. The role requires an advanced clinical degree or nursing degree and an active state professional license.

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Required Skills

  • Medical Necessity
  • Case Management
  • Care Coordination
  • Clinical Review
  • Managed Care
  • Claims Processing
  • Regulatory Compliance
  • Behavioral Health
  • Documentation
  • Residential Experience

Qualifications

  • Master's in Counseling
  • Master's in Social Work
  • Master's in Marriage and Family Therapy
  • BSN
  • LCSW (VA/NC)
  • LPC (VA/NC)
  • LMFT (VA/NC)
  • RN License (Single/Multi-State)
Sentara

About Sentara

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