Behavioral Health Utilization Management Care Coordinator​/RN​/LPC​/LCSW​/LMFT- Person Care

Behavioral Health Utilization Management Care Coordinator / RN / LPC / LCSW / LMFT - Whole Person Care – Hybrid – Roanoke Region

Position Status: Full-time, permanent (40 hours/week)

Location: Roanoke Region (Roanoke, Lexington, Covington, Bedford, Radford, Martinsville, and surrounding areas). Hybrid: up to 2 days travel per week for community visits and 3 days working from home.

Standard

Working Hours:

8 AM – 5 PM EST, M–F

Work Shift: First (Days)

Responsible for reviewing clinical information received from providers to ensure data meets Medical Necessity Criteria and authorizing services accordingly. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, BH and ARTS services, DMAS protocols, clinical protocols and review requirements, as well as contractual, regulatory, and compliance requirements for government, self‑funded, and commercial payers. Ensures accurate data entry into claims system for payment processing.

• Master’s degree in Counseling, Social Work, or Marriage and Family Therapy (required). For Registered Nurses, a Bachelor of Science in Nursing (required).

• Licensed Clinical Social Worker (LCSW) – state license (Virginia or North Carolina)
• Licensed Professional Counselor (LPC) – state license (Virginia or North Carolina)
• Licensed Marriage and Family Therapist (LMFT) – state license (Virginia or North Carolina)
• Registered Nurse (RN) – licensed in Virginia or North Carolina (single- or multi-state)

• 2 years of behavioral health (required)
• 1 year of case management (required)

• Medical, Dental, Vision plans
• Adoption, Fertility, and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401(k)/403(b) with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and CEUs
• Pet Insurance
• Legal Resources Plan
• Annual discretionary bonus eligibility

Sentara Health is an equal opportunity employer and a diverse workforce of nearly 30,000 employees. This is a tobacco-free environment.