Behavioral Health Person Care Hybrid

Position: Behavioral Health Whole Person Care Hybrid-Central
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*** Sentara Health Plans is hiring for a Behavioral Health Utilization Management Care Coordinator
- Whole Person Care
- Hybrid in Central Virginia!
***** Position Status:
Full-time, permanent (40 hours/week)
***
* Position Location:

This is a hybrid role based in Central Virginia (Richmond, Petersburg, Cumberland, Prince George, Hopewell, Brunswick, Franklin, Spotsylvania, Fredericksburg, Stafford, King George, VA and the surrounding areas). The role includes travel of up approximately 2 days per week in the community (home, CSB, or hospital visits as needed) and 3 days working from home.
**** Standard

Working Hours:

8 AM to 5 PM EST, M-F
**** 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 the claims system for processing of payment.
** Education
* *** Experience
* * 2 years of behavioral health (Required)
* 1 year of case management (Required)
** Sentara Health Plans
** provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
* Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
*** Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
**** To apply, please go to*
* ** and use the following as your Keyword Search:*
* ** JR-91981**#Indeed Talroo – Health Plan Managed Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, case management, Hybrid, Richmond, Petersburg, Cumberland, Prince George, Hopewell, Brunswick, Franklin, Spotsylvania, Fredericksburg, Stafford, King George, Virginia, VA
** Benefits:
Caring For Your Family and Your Career****•
** 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
• 401k/403B 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 free access to complete CEUs and professional development
• Pet Insurance   
• Legal Resources Plan  
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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