Provides telephonic services to Members and their families for the purposes of identifying members with behavioral healthcare needs and providing available resource assistance. Works with the Member or the Member's legal representative to develop a service plan. Monitors members' behavioral healthcare needs as per HHS guidelines. Assists with outreach to Members recently discharged from inpatient level of care for post-discharge assistance with a goal to contact members who may be at risk of follow-up shortly after an inpatient Behavioral Health admission. Makes SSI referrals to outside vendor and follows up on the eligibility process with financial and eligibility departments according to established guidelines. Works closely with case managers, team leads, and the Manager of Behavioral Health to coordinate care for Members with a behavioral health diagnosis. Outreach Members for special projects to assist with quality initiatives.
MINIMUM QUALIFICATIONS:
Education/Specialized Training/Licensure:
Bachelor's Degree, preferred in Sociology, Social Work, or Psychology
Work Experience (Years and Area):
Three (3) years' experience in a healthcare setting, such as a medical clinic, hospital, or managed care facility
Equipment Operated: Advanced PC Skills, MS Word, MS Excel, MS Outlook
SPECIAL REQUIREMENTS:
Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Composing Yes Correspondence / Reports)
Advanced Education:
Bachelor's Degree Major: Sociology, Social Work, or Psychology
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Vision insurance
Work Location: Hybrid remote in Houston, TX 77081
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