BHM Healthcare Solutions
  • 16-Sep-2021 to 15-Nov-2021 (EST)
  • Tampa, FL, USA
  • 26-30
  • Hourly
  • Full Time

About BHM Healthcare Solutions, Inc.

BHM Healthcare Solutions, Inc. is a dynamic healthcare company providing behavioral health and medical review services to health plans, health systems, hospitals, and other insurers nationally for over 18 years. Daily, we "live" our core values of:

  • Never stop improving
  • Customer inspired evolution
  • Culture of excellence
  • Data driven decision making
  • Open, honest communications

By joining our team you will become part of a collaborative and engaged team committed to achieving exemplary results. At BHM, we invest in training our employees and providing an opportunity to grow in your career. BHM is located conveniently in the Westshore area, right off Highway 275 and Veterans Highway.

Schedule:

Regular schedule is Monday-Friday in office (Tampa, Fl). Weekends and holidays are work from home on an "on-call" rotating schedule.

Salary:

$26-30 per hour, 40 hours per week. Compensation is commensurate with level of experience.

Fundamentals:

  • Utilizes clinical skills to support the documentation and communication of medical and behavioral health service determinations
  • Analyzes information to support the process of rendering appropriate medical necessity and/or benefit determinations
  • Utilizes clinical experience, criteria/guidelines, and policies and procedures in support of ensuring timely and accurate medical necessity/benefit determinations
  • Develops clinical review summaries and completes Peer Reviewer audits for medical and behavioral health determinations
  • Acts as a liaison between Peer Reviewers and clients as well as a support for Peer Reviewers, including training and mentoring
  • Employs strong customer service skills, both verbally and written, and client understanding to ensure a premiere experience for client interactions

Qualifications:

  • Education
    • Associates degree required
    • Bachelor's degree preferred
  • Licensure
    • Active Florida Clinical License (BSN, RN, LCSW)
  • Experience
    • Minimum 6 months experience of direct patient care preferred
    • Experience in Utilization Review or Health Plan review preferred.

Competitive Benefits Include:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Time Off
  • 401K Match Program

For more information about BHM, visit www.bhmpc.com.

BHM Healthcare Solutions
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