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Behavioral Health Program Coordinator # 26-18618

US Tech Solutions

Canton, MAJob$32/hrTracked 3w agoSeen in employer's feed 3 days ago

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At a glance

Compensation
$32/hr
Location
Canton, MA
Work Authorization
Not specified

Job overview

US Tech Solutions is hiring a Behavioral Health Program Coordinator # 26-18618. The Behavioral Health Program Coordinator at US Tech Solutions manages daily non‑clinical reviews supporting clinical, business, and program work, acting as a key member of the Behavioral Health Utilization Management team and communicating professionally with internal and external customers.

Key focus areas include Review incoming referrals and obtain required demographic information, Verify member eligibility and route cases appropriately, and Manage departmental review workflows and create review events in clinical systems.

Preferred (not required): MHK, CaseTrakker, Jiva/Ecare, and Professional Written Communication.

Skills & qualifications

RequiredNice to have

Skills

MHKCaseTrakkerJiva/EcareProfessional Written CommunicationProfessional Verbal CommunicationReview Workflow ManagementCoverage ReviewOperational SupportAdministrative SupportDepartmental Project Participation

Full job description

$32 per hour

Conton, MA

Contract

Duration: 12 Months

Job Description

  • Under the direction of the Supervisor – Behavioral Health, the Program Coordinator – Behavioral Health is responsible for the daily management of non-clinical reviews that support the clinical, business, and program-related work of the department.

  • The Program Coordinator functions as a key member of the Behavioral Health Utilization Management (BH UM) team and represents Client Health values through professional written and verbal communication with both internal and external customers.

Key Responsibilities:

Pre-Clinical Review Validation

  • Review incoming referrals and obtain required demographic information.

  • Verify member eligibility.

  • Identify special coverage or quality events and route cases appropriately.

Review Workflow Management

  • Manage departmental review workflows.

  • Create and manage review events within clinical systems, including:

  • MHK

  • CaseTrakker

  • Jiva/Ecare

  • Monitor review status and ensure timely processing.

Coverage Review

  • Perform basic coverage reviews for a defined subset of requests, including:

  • Inpatient services

  • Outpatient therapy

  • ABA (Applied Behavior Analysis)

  • CBHI/BHCA (Behavioral Health Services for Children and Adolescents)

  • Psychological and neuropsychological testing

  • rTMS (Repetitive Transcranial Magnetic Stimulation)

  • Other levels of care as assigned

  • Update requests, obtain additional clinical information, or void requests when appropriate.

Operational & Administrative Support

  • Participate in departmental operational and administrative processes.

  • Respond to requests for departmental information and follow up as needed.

  • Participate in departmental projects and special assignments to support timeliness, quality, and compliance.

  • Represent the department on committees when required.

  • Perform other administrative duties and special projects as assigned.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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