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 • Review and confirm member and recipient eligibility • Offer provider choices based on consumer requests and service needs • Schedule appointments within established access time standards • Link members with contracted providers for clinical assessments • Identify risk indicators and make immediate referrals to Member and Recipient Services Clinicians • Handle customer service calls regarding enrollment, services, referrals, provider changes, Social Determinants of Health needs, and general information • Provide information about Vaya Partners, its provider network, community resources, and North Carolina Medicaid services • Complete warm transfers and link callers to appropriate parties, providers, vendors, community organizations, and legal guardians • Document call notes, forms, reports, and other required information in electronic systems • Report service-system gaps and needs to managers or Provider Network Development staff • Offer Customer Satisfaction Surveys and adhere to the NCMT Call Grading Rubric • 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 a 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 service provision • Knowledge of person-centered and recovery philosophies • Familiarity with mental health, developmental disability, and substance abuse disorders • Knowledge of North Carolina’s Medicaid system • Knowledge of laws, regulations, and policies governing 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 required documentation at the time of the call • Ability to communicate clearly orally and in writing • Ability to interact professionally with upset or disagreeing individuals • Must reside in North Carolina or within 40 miles of the North Carolina border

🏖️ Avantages

• Overtime compensation eligibility • Extensive training on customer service skills, insurance plans, applicable confidentiality laws, and related systems • Equal opportunity employer