Behavioral Health Care Advocate
1 week ago
The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health equity on a global scale.
The overall purpose of the Licensed Behavioral Health Clinician / Care Advocate is to improve the enrollee's ability to remain stable in the community and out of the hospital.
Care Advocates engage people in the treatment process and assist them to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization.
This position is also designed to be a direct clinical liaison between health plan staff and the clinical network.
The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services.
Responsibilities:- Identify and provide community service linkage
- Assist enrollees with aftercare appointments
- Provide subsequent member follow-up as determined by individual member needs
- Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services
- Review IP Census each day to determine which enrollees on the census are re-admits within the last 12 months
- Go to facility meetings with treatment team to develop a successful aftercare plan
- Manage the aftercare follow-up of identified high risk enrollees (manage follow-up calls/outreach and documentation)
- Meet with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs
- 40-hour work week. No nights, weekends, holidays, or on call
- Competitive salaries
- Comprehensive benefits package that includes Medical, Dental, Paid Time Off, and 401K
- CEU and license renewal fee reimbursement
- Mileage reimbursement
- Ability to support your local community and partner with area resources
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