Quantum Health
  • - Clinical Services
  • Columbus, OH, USA
  • Full Time

Job Title: Behavioral Health Care Coordinator

Business Unit: Clinical Services

Reports To: Clinical Manager

Quantum Health is a fast growing company delivering better healthcare while lowering healthcare costs. If you are passionate about helping people and want to launch a career at one of the Best Places to Work in Columbus and the USA, now is your time to join our winning culture! We are looking for a Behavioral Health Care Coordinator.

 

Roles and Tasks: 

  • Promote the mission and core values of Quantum Health as well as the concept of Coordinated Health/Care
  • Provide daily reviews on all inpatient mental health/substance abuse patients
  • Provide utilization review on all proposed treatments for outpatient needs as directed by the SPD
  • Maintain contact with PCG management staff for transfer of cases when appropriate
  • Act as a clinical resource for all departments
  • Maintain a working knowledge of all workflows related to UR and Pre-certification
  • Maintain a working knowledge of all benefit plans and know where to access the needed information
  • Negotiate for services needed if no clear benefit exists or if the services can only be provided out  of network
  • Maintain open communication with Manager or designee 

Skills and Qualifications:

  • Licensed as a registered nurse with current license in Ohio or
  • Licensed as a Social Worker with current license in Ohio
  • Minimum 2 years of experience in a Behavioral Health setting
  • Experience in health management desired
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Strong ability to communicate effectively with patients, employer groups and physicians
  • Effective problem solving
  • Ability to work independently
  • Computer literacy
  • Strong customer service skills
  • Possess excellent verbal and written communication skills
  • Possess excellent time management skills
  • All job offers are contingent on successful completion of a background and reference check

Join our Quantum culture which rewards hard work while having fun! 

Benefits include:

  • Earn up to 120 hours (15 days) of Paid Time off each year
  • Medical/dental/vision insurance including domestic partner benefits
  • 401(k)
  • On-site amenities include fitness facility, pool table, serenity room
  • We offer a casual dress environment
  • Free beverages, snacks and ALWAYS fresh-popped popcorn
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