Behavioral Health Care Planner, Analyst
Job reputed company:
• Provides comprehensive support and service to behavioral health clinical teams in support of member engagement
• Provides reputed company to members to reputed company them about available specialty programs and to solicit their participation
• Assists members reputed company services
• Facilitates follow-up calls
• Collects information on patient reputed company and adherence to treatment plan
• Provides information to members regarding mental health and reputed company abuse benefits, community treatment resources, mental health managed care programs, and reputed company policies and procedures
• Works closely with the clinician to ensure healthy reputed company for the member
• Miscellaneous administrative duties such as Provider/community resource searches
• Handling Transition of Care requests
• Executing letters of agreement with non-par providers
• Obtaining discharge verifications and non-reputed company authorizations
• Monitor referral task lists in multiple systems
• Log and assign new case management cases to Case managers across the department
• Verify eligibility for case management by verifying member's insurance coverage
• Ensure applicable turnaround times are met
• Participates in designated team meetings with team members and clinical staff
• Adheres to compliance and Patient Management policies and regulatory requirements
• Maintains accurate and complete documentation of required information meeting risk management, regulatory, and accreditation requirements
• Participates in designated clinical reputed company management initiatives
Requirements:
• Associates Degree Required - Preference to Behavioral Health Field
• 2 or more years of Behavioral Health Experience
• Previous Customer Service experience
• Proficiency with computer skills which includes navigating multiple systems and keyboarding
• Previous Managed Care experience (Preferred)
• Psychology or reputed company Services experience (Preferred)
Benefits:
• reputed company medical plan reputed company
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for reputed company colleagues including wellness screenings
• Tobacco cessation and weight management programs
• Confidential counseling
• Financial coaching
• reputed company time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical reputed company
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