• Job Description

  Req#: JR-80348

  City/State

  Richmond, VA

  Work Shift

  First (Days)

  Overview:

  Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Justice Care Coordinator.

  Position Status: Full-time, day shift

  Position Location: Hybrid. Must be able to travel to jails at least once a month - 3 times a quarter in the Richmond area.

  Standard Working Hours: Monday - Friday, 8:00AM to 5:00PM

  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 claims system for processing of payment.

  Education

  • Bachelor of Science in Nursing, Masters of Counseling, OR Masters of Social Work Required

  Certification/Licensure

  • LCSW or LPC or LMFT or RN current license for the state of Virginia. LMHP- S, LMHP-R may be considered if actively working towards licensure and prior experience is present.

  Experience

  • 2 years of experience working in behavioral health Required

  • 1 year of experience with behavioral health care coordination, discharge planning, continuity of care or transitions of care Required

  • Must have experience a year of experience working with the jail system or working with members on probation

  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.

  Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

  
  In support of our mission “to improve health every day,” this is a tobacco-free environment.

  For positions that are available as remote work, Sentara Health employs associates in the following states:

  Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

• About the company

  Sentara Healthcare is a not-for-profit healthcare organization serving Virginia and northeastern North Carolina.

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