ACCESS Member Services Specialist

Vaga não está no LinkedIn

🕒 6 dias atrás

🌲 North Carolina – Remoto

🌲 North Carolina – Remote

💵 $54.007 - $65.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👻 Score fantasma 1%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Vaya Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1972

🛡️ Seguros

💼 Consultoria

📦 Logística

Insurance • Consulting • Logistics

A Vaya Health é uma organização sediada na Carolina do Norte que gerencia serviços para indivíduos com problemas de saúde comportamental, incluindo transtornos mentais e de uso de substâncias, deficiências intelectuais e de desenvolvimento (I/DD) e lesões cerebrais traumáticas (TBI). A organização fornece serviços de Medicaid personalizados para essas populações, com foco em uma abordagem centrada na pessoa que conecta os membros ao cuidado e suporte necessário para seus objetivos únicos de saúde e bem-estar. A Vaya Health enfatiza a colaboração em várias áreas de cuidado para garantir apoio abrangente aos seus membros, promovendo comunidades mais saudáveis em toda a região.

Descrição

• Conduct telephonic screenings and collect demographic information • Provide callers with choices among available providers and link them to appropriate services • Link callers to licensed clinicians for urgent or emergent services when needed • Review and confirm member and recipient eligibility • Schedule appointments within established access-time standards • Handle customer-service calls regarding enrollment, service access, referrals, Social Determinants of Health needs, provider changes, and general information • Provide information about Vaya Partners, its provider network, community resources, and North Carolina Medicaid services • Identify risk indicators and make immediate referrals to Member and Recipient Services Clinicians • Resolve caller questions when possible or explain resolution processes and timeframes • Complete warm transfers and linkages to appropriate parties • Complete call notes, forms, reports, and other electronic documentation during or immediately after calls • Monitor service-system trends and report gaps and needs to management or Provider Network Development staff • Adhere to the NCMT Call Grading Rubric and deliver person-centered, recovery-oriented customer service • Assist with specialized ACCESS Call Center projects and perform other assigned duties

🎯 Requisitos

• Bachelor’s degree in a Human Services field and at least two years of experience working with adults or children with serious psychiatric, chemical dependence, or developmental disability in a community mental health center or similar setting, OR bachelor’s degree from an accredited college or university and at least four years of such experience • Must be qualified as a Qualified Professional according to 10A NCAC 27G .0104 • Experience providing mental health, substance abuse services, or intellectual/developmental disabilities • Knowledge of social work principles, techniques, and practices • Knowledge of behavioral health principles and complex treatment and services provision • Knowledge of person-centered and recovery philosophies • Familiarity with mental health, developmental disability, and substance abuse disorders • Knowledge of governmental and private community organizations and resources • Knowledge of laws, regulations, and policies governing LME/MCO operations, human services, and utilization management • Ability to use complex telephone and computer systems and multiple technology systems concurrently during live calls • Ability to document information electronically and complete call notes, forms, reports, and other documentation at the time of call • Ability to communicate clearly and concisely orally and in writing • Ability to establish effective working relationships with community members and provider agency staff • Ability to interact professionally and effectively with upset individuals and those who disagree • Ability to remain professionally responsive in an ethical and sensitive manner • Required confidentiality and compliance training regarding HIPAA, 42 CFR Part 2, and applicable state laws; must sign a confidentiality statement • Must reside in North Carolina or within 40 miles of the North Carolina border

🏖️ Benefícios

• Overtime compensation eligibility • Remote, home-based work • Monday–Friday schedule • 40-hour work week • Customer Satisfaction Survey participation at call close (service-quality practice)