We're looking for a Member Treatment Coordinator, working in the Insurance industry in Rochester, New York, United States.
Performs clinical review of the appropriateness and quality of behavioral health services, applying guidelines and medical policies
Performs a clinical assessment and coordinates care on all members discharged from a behavioral health inpatient level of care and assists members in accessing the most appropriate next level of care
Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards
Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge, members’ specific health plan benefits, and efficient care delivery processes.
We are offering Competitive Compensation and Benefits. This position may present an opportunity to go permanent.
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’s about relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
3 years of clinical experience (community health, behavioral health, and managed care experience)
Registered Nurse with current New York State license or a New York State licensed Social Worker or a New York State Certified Alcohol and Substance Abuse Counselor.
Strong communication skills
Must demonstrate proficient experience in use of a computer
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.