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Behavioral Health Program Coordinator # 26-18618

US Tech Solutions

Role overview

Qualifications

  • Experience in behavioral health management
  • Strong written and verbal communication skills
  • Familiarity with clinical systems
  • Ability to manage workflows

Responsibilities

  • Review incoming referrals and obtain required demographic information
  • Manage departmental review workflows and monitor review status
  • Perform basic coverage reviews for defined requests
  • Participate in departmental operational and administrative processes

About the company

US Tech Solutions logo

US Tech Solutions

Staffing & Recruiting

USTECH SOLUTIONS is the largest privately owned diversity workforce partner with a global footprint. For 20+ years, we have partnered with leading MSPs and some of the world’s largest enterprises to deliver a flexible workforce. We serve Fortune 500 giants and growing businesses alike, reinventing the role of humans in a digital workforce. ‘Reinventing Human’ is about connecting you with top talent and seamlessly integrating new hires into your programs through our next gen AI powered Talent platforms. As the largest private diversity supplier in the US, we champion inclusion and unlock hidden potential. We work with leading MSPs and are a trusted strategic partner to the world’s top brands. At USTECH SOLUTIONS, we're inverting the talent hiring pyramid by offering a range of solutions from curated talent pools, workforce management services, and IT services resourcing to IC compliance. Our legacy and close affinity to the computing industry has equipped us with the expertise and vision to provision AI platform solutions that help organizations to innovate faster. Considering Statement of Work? Meet US Tech Digital (ustechdigital.com). We're helping businesses achieve digital leadership through our tailored SOW solutions, utilizing market-leading technology products and our proprietary in-house developed platform solutions. Explore our full range of services and solutions by visiting our website: ustechsolutions.com

Company details

Company typeLarge
IndustryStaffing & Recruiting
Company size1001 - 5000

Links

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Job description

Duration: 12 Months

Job Description
  • Under the direction of the Supervisor – Behavioral Health, the Program Coordinator – Behavioral Health is responsible for the daily management of non-clinical reviews that support the clinical, business, and program-related work of the department.
  • The Program Coordinator functions as a key member of the Behavioral Health Utilization Management (BH UM) team and represents Client Health values through professional written and verbal communication with both internal and external customers.
Key Responsibilities:
Pre-Clinical Review Validation
  • Review incoming referrals and obtain required demographic information.
  • Verify member eligibility.
  • Identify special coverage or quality events and route cases appropriately.
Review Workflow Management
  • Manage departmental review workflows.
  • Create and manage review events within clinical systems, including:
    • MHK
    • CaseTrakker
    • Jiva/Ecare
  • Monitor review status and ensure timely processing.
Coverage Review
  • Perform basic coverage reviews for a defined subset of requests, including:
    • Inpatient services
    • Outpatient therapy
    • ABA (Applied Behavior Analysis)
    • CBHI/BHCA (Behavioral Health Services for Children and Adolescents)
    • Psychological and neuropsychological testing
    • rTMS (Repetitive Transcranial Magnetic Stimulation)
    • Other levels of care as assigned
  • Update requests, obtain additional clinical information, or void requests when appropriate.
Operational & Administrative Support
  • Participate in departmental operational and administrative processes.
  • Respond to requests for departmental information and follow up as needed.
  • Participate in departmental projects and special assignments to support timeliness, quality, and compliance.
  • Represent the department on committees when required.
  • Perform other administrative duties and special projects as assigned.

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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