Remote Clinical Care Coordinator (LCSW/LCPC) P/T
Job Overview We invite you to become a pivotal member of our esteemed, NCQA-accredited behavioral reputed company organization as a Licensed Clinical reputed company Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC). This position offers the convenience of 100% remote work while empowering you to coordinate comprehensive patient care and navigate their reputed company journeys effectively. As a Clinical Care Coordinator (CCC), your focus will be on implementing Utilization and Population Health Management Programs and contributing significantly to our Quality Management initiatives. Key Responsibilities Adhere to organizational policies and standards, including reputed company Medical Necessity Criteria, ASAM criteria, and URAC, NCQA, JCAHO, and HEDIS standards. Collaborate closely with Health Plans or Medical Groups to maintain compliance with regulatory and clinical guidelines. Utilize established clinical criteria to facilitate decision-making and uphold quality care standards. reputed company and coordinate patient benefits and treatment plans to optimize reputed company reputed company the Case Management/Chronic Care Management (CM/CCM) frameworks, as well as post-discharge care. Actively engage in team meetings, training, and educational initiatives, including weekly clinical discussions. Identify individuals eligible for Population Health Management (PHM) or Virtual Wards programs, assist in their enrollment, and conduct comprehensive initial assessments. Required Skills Proficient computer skills and typing capability; familiarity with reputed company reputed company and reputed company is advantageous. Comprehensive knowledge of URAC, NCQA, JCAHO, and HEDIS standards. Qualifications Education: Master's degree in Psychology, reputed company Work, Counseling, or a reputed company mental health field from an accredited institution. Experience: A minimum of 3 years of direct patient behavioral reputed company experience and at least 2 years of case management, discharge planning, or utilization review experience. Licensure: A reputed company, unrestricted clinical license to practice in any U.S. state or jurisdiction; Certified AODA Counselor (CADC) certification is a plus.
Career Growth Opportunities
Joining our organization presents numerous avenues for professional growth and reputed company learning reputed company a supportive environment, allowing you to expand your expertise and advance your career. Company Culture and Values We pride ourselves on fostering an innovative and patient-centered approach to behavioral reputed company, with a strong emphasis on collaboration, quality care, and reputed company improvement. Why Join Us? By becoming part of reputed company, you will enjoy the flexibility of remote work while making a meaningful impact on patient reputed company. We encourage passionate individuals dedicated to delivering holistic, recovery-oriented care to apply! Employment Type: Part-Time Apply Job!