• Job Description

  Req#: R0033464

  At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

  Join HCSC and be part of a purpose-driven company that will invest in your professional development.

  Job Summary

  **THIS ROLE WILL TELECOMMUTE ON A FULL TIME BASIS FOR TX, OK, NM, MT AND IL**
  **Masters-level Behavioral Health Professionals: Please note that you MUST be licensed to practice at the independent level for this role. The # of years of clinical experience required for this role is post licensure (# of years) at the independent level**
  **Knowledge of ABA (Applied Behavior Analysis) as appropriate for treatment within the Autism Spectrum Diagnoses (ASD) is preferred, but NOT mandatory**
  
  
  This position is responsible for performing behavioral health case management in accordance with accepted department criteria; consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individual’s and family’s comprehensive health needs; using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.

  Required Job Qualifications:
  * Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, LCPC, LMFT, RPsy) with a license to practice at the independent level in this field.
  * Current, valid, unrestricted clinical license in state of operations.
  * 2 years clinical experience (post licensure at the independent practice level) of direct clinical care to the consumer.
  * Utilization management, discharge planning or managed care experience.
  * Customer service oriented.
  * PC and database experience.
  * Verbal and written communication skills

  Preferred Job Qualifications:
  * Case Management Certification (CCM).
  * 3 years clinical practice experience.
  * Familiarity with ancillary services, for example, wellness or community-based programs (housing, family support services).
  * Provider side insurance experience.
  * Familiarity with Utilization Management or Case Management activities and standardized criteria sets.
  * Bilingual in English/Spanish or English/Polish.
  *C linical experience in psychiatric setting or behavioral health practice providing and/or supervising ABA treatment, or working with individuals with ASD (Autism Spectrum Diagnoses).

  The Compensation/Salary offered will vary depending on Job-related skills, education, knowledge and experience. This role aligns with an Annual Incentive Bonus plan.

  #LI-Remote

  Relocation assistance will not be provided for this position.

  
  Sponsorship will not be provided for this position.

  We encourage people of all backgrounds and experiences to apply.

  Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

  HCSC Employment Statement:

  We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

  Base Pay Range

  $58,800.00 - $130,100.00

• About the company

  Health Care Service Corporation (HCSC) is the largest member-owned health insurance company in the United States. HCSC offers a wide variety of insurance products and related services through Blue Cross and Blue Shield® of Illinois, Blue Cross and Bl...

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