BHSCareCoord
Located in Birmingham, AL
Pay: $62,800 /yr. to start
Job Full Description
Job Summary: A local managed care provider is seeking a Care Coordinator to join their team of highly trained and skilled Mental Health professionals to support their clientele in providing appropriate mental healthcare options. This is an ideal position for someone with a background in mental health clinical care who is seeking a change of pace to move into an office/customer service based role while still providing support to client employees. This person should be highly organized, and able to manage a caseload of 10-12 client companies (don't worry, they're not all calling at the same time!). This position offers an opportunity to truly become vested in local and national organizations that wish to offer their employees a more well rounded level of mental healthcare, and aims to provide excellent customer service while providing a high level of care. Birmingham, AL.
Schedule & Pay:
- Mon-Fri, 8:30am-5:30pm; on-call one night per week and occasional weekend.
- $62,800 /yr. to start.
Benefits:
- 3 weeks of ETO/year PLUS 8 sick days
- Generous 401k with 100% match on first 3% deferred, 50% match on 2% deferred
- 8 paid holidays
- 2 Personal days per year
- BCBS health, dental, and vision
- EAP, critical illness insurance, life insurance policy, and short term/long term disability
Here's What Your Day-to-Day Looks Like:
- Perform care management coordination activities for managed care, employee assistance, and workers’ compensation beneficiaries system-wide to include: scheduling and direct case management reviews, communication with hospitals, attending physicians, outpatient providers, etc., effectiveness review and monitoring functions, quality assurance.
- Receive calls from patients, providers, and facilities, arrange for appropriate intake assessments, schedule and refer to appropriate case manager in local areas, and monitor these activities on a regular basis. (Their organization takes between 400-500 calls/day!)
Explain and verify qualifying benefits to employees, patients and treatment providers.
- Participate in utilization review and quality assurance activities, as directed, and coordinate utilization review activities with the onsite physician review panel.
- Adhere to established organization policies, procedures, and utilization review guidelines, HIPAA standards, ERISA regulations, and URAC standards.
- Review incoming claims for completeness of data and appropriate approval, in cooperation with data processing and the Accounting Division.
- Serve as clinical liaison for EAP accounts to include communication with clients, assisting Vice President, EAP with quarterly and annual reports.
- Provide after hours coverage for emergencies on a shared basis, collecting data based on structured intake questionnaire and arranging for peer review.
- Assist in the clinical coordination of patient activities and cases as requested.
- Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of annual goals, objectives and divisional action plans.
- Interact with the BHS physician review panel and coordinate case reviews for medical necessity purposes. Maintain strong liaison with physician reviewers and the BHS Medical Director.
Here's What Makes YOU a Great Fit:
- Masters degree in Psychology, Social Work, or related field required
- Active, professional licensure or certification to practice in the behavioral health field in a state or territory of the United States required (LMSW, LPC, BCBA, LCSW)
- QA/UR experience in psychiatric setting
- Minimum three to five years experience in mental health field
- Prefer experience in services to business and industry
- Exposure to computerized applications including Microsoft Office, and proprietary software similar to DAWs system)
- Strong organizational and communication skills
APPLY TODAY!
- Quick Apply Here - please include “Care Coordinator” in the "Type of Job" box
- Give us a call: 205-981-1141, Option 2
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Express Employment Professionals - Birmingham South, is a local employment agency that has been helping people find great jobs in South Birmingham & Shelby County since 2006. We focus on helping people find long term positions at some of the best companies in the area. Every week we are actively working with 50+ companies in the Downtown, Over-the-Mtn, and Shelby County areas.
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Birmingham (South), AL
3348
200 Cahaba Park Circle
Suite 130
Birmingham, AL 35242
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