Care Worker

Position

Care Worker

Location

Columbia, MD

Duration

5 months to hire

Responsibilities

• Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found. Links clients to appropriate services within the community.
• Participates in the treatment team and assists in coordinating psychological and psychiatric services for the patients.
• Provides telephonic survey administration to assist in stratifying members.
• Refers member to the care management for clinical assessment and sessions.
• Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and NewCo policies and procedures.
• Assists in the scheduling of BHCCs facility and PCP visits, and managing phone appointments
• Helps manage phone queues and calendars of the care management staff.
• Assists in phone split when care managers are on calls.
• Assists care managers with accurate and timely billing of case management services provided
• Assists in the mentoring and training of new Care Workers and other office staff.
• Responsible for participating in ongoing training related to Care worker role, updating self on ever changing information to ensure accuracy when dealing with members and providers.

Other Responsibilities

• Maintains current and accurate records, adhering to company policies and laws governing patient records; performs related duties as requested; Participate in the QI initiatives.
• Advocate for the patient to ensure treatment needs are met. Interact with providers in a professional, respectful manner that facilitates the treatment process.

Minimum Requirements

Education

Associates Degree

Field(s) of study

Degree or experience in behavioral health or sales related field

Experience

3-5 years

Industry

Managed Care

Job Specific

Experience to include experience in managed care or behavioral health office based setting. Phone and computer skills required.

• Equivalent combination of experience and education
• Education and/or experiences may run concurrent
• Understanding of health insurance benefit structures, psychiatric terminology, local community and provider resources, and excellent verbal and written communication skills, able to multi-task.
• Proficient in Word, Excel, Power Point, Visio, Outlook. Ability to use computers, type while talking.

Education

Associates Degree

Kind Regards

Sumit Agarwal

732-902-2125