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Behavioral Health Clinical Care Coordinator
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$45 - $50 an hour
Part-time
- The Clinical Care Coordinator (CCC) is a holistic role, participates in the Implementation of the Utilization and Population Health Management Program, supports Quality Management initiatives and the Recovery model of care in meeting the needs of his or her caseload.
- Fully understands and applies policies, procedures and organizational operations as related to job functions including Apollo Medical Necessity Criteria and ASAM criteria, URAC, NCQA, JCAHO and HEDIS standards and Health Plan or Medical Group requirements.
- Manages and coordinates member benefits and individualized treatment delivery to achieve optimal patient outcomes in CM/CCM program, then post program discharge across the continuum of care.
- Participates in clinical Inter-Rater compliance audit of clinical criteria application and timeliness of decision making
- Population Health Management/Case Management and Complex Case Management Responsibilities;
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