City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Health is currently seeking a full-time remote Addiction and Recovery Treatment Services (ARTS) Care Coordinator in Virginia!.

Position Status: Full-time, Day Shift

Position Location: Remote in the state of Virginia

Standard Working Hours: Monday - Friday, 8:00AM - 5:00PM EST.

Overview

The Addiction and Recovery Treatment Services (ARTS) Care Coordinator is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, BH and ARTS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment

Education

• Master's degree in Counseling or Social Work or BSN REQUIRED

Certification/Licensure

• Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) or Licensed Marriage and Family Therapist (LMFT) or Registered Nurse License (RN) current license for the state of Virginia REQUIRED

• LMHP- S, LMHP-R may be considered if actively working towards licensure and prior experience is present.

Experience

• 2 Years Clinical Experience REQUIRED

• 2 years experience working in behavioral health and 1 years' experience with behavioral health care coordination, discharge planning, continuity of care or transitions of care REQUIRED

• Must have at least 1 year experience with substance use

• Certified Substance Abuse Counselor (CSAC) preferred, but not required. 

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.

Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-85551

#Indeed

Talroo – Health Plan

Keywords: Managed Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Bachelor's, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Addiction and Recovery Treatment Services (ARTS), Medicaid, Certified Substance Abuse Counselor (CSAC)

Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave • Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down – $10,000• Reimbursement for certifications and free access to co