Behavioral Health Managed Care Coordinator I

Today
South Carolina — RemoteFull TimeHealthcare Administration
✓ No Call✓ No Weekends✓ No Nights

Job Description

About the Role

Join BlueCross BlueShield of South Carolina as a Behavioral Health Managed Care Coordinator I – Remote, M-F in United States.

Key Responsibilities

  • Performs medical or behavioral review/authorization process.
  • Ensures coverage for appropriate services within benefit and medical necessity guidelines.
  • Evaluates outcomes of plans, eligibility, level of.

Requirements

  • Friday from 8:00am – 5:00pm EST and will be fully remote. Our ideal candidate must reside on the East coast as they may be required to report on

Benefits & Compensation

  • 401(k) with employer match.

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.
  • No weekends required.
  • Day shift only - no nights.

This position offers day shifts only. Work with BlueCross BlueShield of South Carolina in United States.

Key Skills

Medical necessity reviewBehavioral healthClinical criteria applicationCare plan complianceClaims analysisMedicaid experiencePatient educationCase managementUtilization reviewDocumentationCritical thinkingCommunication skillsNegotiationMicrosoft OfficeRegulatory compliance
HealthcareSocial ServicesAdministrativeCustomer Service & Supportvia Workday

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Behavioral Health Managed Care Coordinator I at BlueCross BlueShield of South Carolina a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 10% of all Healthcare Administration healthcare professional listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements, no night shifts, remote work flexibility.

Positions in this range offer a solid balance between clinical responsibility and personal time. Most providers report manageable workloads with adequate recovery time.

Healthcare Administration — healthcare professional Career Context

This Healthcare Administration position at BlueCross BlueShield of South Carolina is open to healthcare professional candidates.

Remote healthcare professional positions in Healthcare Administration have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Location & Logistics

This is a fully remote healthcare professional position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

  • No on-call requirements — clinicians are completely off-duty after hours
  • No weekend shifts — preserving personal and family time
  • No night shifts — a daytime-only schedule
  • Fully remote — work from anywhere with an active license

Skills, Responsibilities & Benefits

Key skills and qualifications: Medical necessity review, Behavioral health, Clinical criteria application, Care plan compliance, Claims analysis, Medicaid experience, Patient education, Case management. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The coordinator reviews and evaluates medical or behavioral eligibility for service requests by applying clinical expertise and established criteria. They also monitor care plan compliance and coordinate with providers to ensure quality, cost-effective health outcomes for members.

Benefits package: Health Insurance, Dental, Vision, 401k Retirement Savings Plan with Company Match, Life Insurance, Paid Time Off, Education Assistance, Service Recognition. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Healthcare Administration healthcare professional jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.

BlueCross BlueShield of South Carolina logo

About BlueCross BlueShield of South Carolina

Insurance
Columbia, South Carolina
2-5

Benefits & Perks

Health Insurance
Dental
Vision
401k Retirement Savings Plan with Company Match
Life Insurance
Paid Time Off
Education Assistance
Service Recognition
7.5

Work-Life Balance Score

Top 25%

Protective Factors (4)

Remote work (RR 0.57; 14-23% ↓ burnout)

No on-call (β=6.95; p<0.001 for ↓ exhaustion)

No weekends (57% ↓ work-life conflict)

No nights (Independent predictor ↓ burnout)

Interpretation: Position demonstrates all major evidence-based lifestyle protective factors.

Job Details

Employment Type

Full-time

Posted

today

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