ACCESS Member Services Specialist

Emploi pas sur LinkedIn

🕒 il y a 24 jours

🌲 North Carolina – Distant

🌲 North Carolina – Remote

💵 $54 007 - $65 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👻 Score fantôme 1%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Vaya Health

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 1972

🛡️ Assurance

💼 Conseil

📦 Logistique

Insurance • Consulting • Logistics

Vaya Health est une organisation basée en Caroline du Nord qui gère les services pour les individus ayant des problèmes de santé comportementale, y compris les troubles mentaux et de l'usage de substances, les déficiences intellectuelles et développementales (D/I), et les traumatismes crâniens. L'organisation fournit des services Medicaid adaptés pour ces populations, en se concentrant sur une approche centrée sur la personne qui connecte les membres aux soins et soutiens nécessaires pour leurs objectifs uniques en matière de santé et bien-être. Vaya Health met l'accent sur la collaboration entre divers domaines de soins pour garantir un soutien complet à ses membres, favorisant des communautés plus saines dans toute la région.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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