Care Coordinator

Responsibilities

• Oversee and coordinate patient care activities, including referral and case management for managed care, EAP, and workers’ compensation beneficiaries.
• Perform intake assessments, schedule referrals to local case managers, and conduct regular monitoring of patient progress.
• Explain benefits to employees, patients, and treatment providers while verifying eligibility and maintaining client communication.
• Participate in utilization review (UR) and quality assurance (QA) activities, coordinating with the physician review panel to ensure timely clinical reviews.
• Adhere to clinical policies, HIPAA standards, ERISA regulations, and URAC standards.
• Serve as a clinical liaison for EAP accounts, assisting with quarterly and annual reporting.
• Provide shared after-hours emergency coverage, collecting intake data and arranging for peer reviews.
• Maintain accurate patient and departmental files, policies, and procedures.

Requirements

• Master's degree in Psychology or a related field.
• Active professional licensure or certification to practice in the behavioral health field within a US state or territory.
• Minimum of five years of experience in the mental health field.
• Proven experience in Quality Assurance (QA) or Utilization Review (UR) within a psychiatric setting.
• Strong organizational and communication skills.
• Proficiency with computerized applications.

Preferred Qualifications

• Experience providing services to business and industry environments.

About the Company

Workplace Options supports its sister organization, Behavioral Health Systems (BHS), which operates one of the nation’s largest specialty preferred provider organizations (PPO). BHS provides a comprehensive network of psychiatrists, psychologists, social workers, and facility networks including hospitals and residential treatment centers.