Eagan MN 55121
Job DescriptionWork schedule: M-F, 9-5pm, one later evening required weekly.
Ideal candidates will have excellent customer service skills, telephone / telephonic experience and computer application know-how/ savvy.
-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. Assists in discharge planning for hospitalized patients and makes appropriate placements as needed. Participates in the treatment team and assists in coordinating physical, psychological and/or psychiatric services for the patients.
-Provides information to members and providers regarding mental health, physical health and/or substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures.
-Assists in the adhoc process either in submitting adhoc?s as the designated adhoc Care Worker or assisting Care Managers in completing the form correctly and, in utilizing search features for securing credentialed providers for appointments as needed. Assists in monitoring the CW/Gatekeeping queue during the supervisor?s absence.
-Participates in quality activities, including data collection, tracking, and analysis. Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies with possible suggestions for more effective processes.
-Leads or participates in activities as requested that improve Care Center/Health Plan performance, excellence and culture. Supports team members and participates in team activities that build a high-performance team. Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving its members and help the company achieve its business and operational goals. Demonstrates proficiency, ability and willingness to perform all responsibilities including but not limited to, Ambulatory Follow Up, Account Specific Follow Up, Community Resource Requests and basic file room procedures.
-Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the role. Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers and procedures. Contributes to process improvements to enhance achievement of personal, team and company goals.
General Job Information
Job FamilyClinical Services Group
CountryUnited States of America
FLSA StatusUnited States of America (Non-Exempt)
Recruiting Start Date5/2/2019
Date Requisition Created4/26/2019
License and Certifications - Required
License and Certifications - Preferred
Other Job Requirements
ResponsibilitiesUnderstanding of plan benefit structures, psychiatric/medical terminology, and local communication resources
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.
“I receive a high level of support from our Senior Management Team to execute on our vision. They are always accessible and approachable, something I’ve found to be very unique to Magellan.”