
1001 - 5000 employees
Founded 2012
🏥 Healthcare
⚕️ Healthcare Insurance
Healthcare • Healthcare Insurance
Alliance Health is a regional health plan serving residents of several North Carolina counties by administering Medicaid and state-funded behavioral health and specialty services. It operates Tailored Plan coverage and Medicaid Direct options that integrate physical health, pharmacy, behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services, provides 24/7 behavioral health crisis support, member and provider portals, community trainings and outreach, and coordinates care through provider networks and governance committees.
🔥 5 minutes ago
🌲 North Carolina – Remote
💵 $69.6k - $88.7k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
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1001 - 5000 employees
Founded 2012
🏥 Healthcare
⚕️ Healthcare Insurance
Healthcare • Healthcare Insurance
Alliance Health is a regional health plan serving residents of several North Carolina counties by administering Medicaid and state-funded behavioral health and specialty services. It operates Tailored Plan coverage and Medicaid Direct options that integrate physical health, pharmacy, behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services, provides 24/7 behavioral health crisis support, member and provider portals, community trainings and outreach, and coordinates care through provider networks and governance committees.
• Provide coverage for the 24-hour Behavioral Health Crisis line • Conduct telephonic screening, triage, assessment, and referral functions • Link individuals safely and promptly with services and community resources • Provide crisis service authorizations for state- and Medicaid-funded emergency services • Receive and manage escalated calls involving urgent or emergent needs, including psychosis, suicidality, homicidality, intoxication, withdrawal, or medical emergencies • Make clinical triage and level-of-care decisions based on limited telephonic information • Maintain caller safety by contacting and mobilizing EMS, CIT officers, police, mobile crisis teams, and other first responders • Engage Decision to Warn procedures for callers with active homicidal ideation • Report to Child Protective Services and Adult Protective Services when warranted • Identify high-risk and special healthcare-needs populations and refer them to Care Coordination • Review caller history in the client management system and schedule assessment appointments using the electronic scheduling system • Complete specialized screening documentation and document incoming call activity in the MCO tracking system • Operate a multi-function phone system and multiple software programs while managing caller needs • Conduct follow-up to confirm scheduled assessments and crisis follow-up appointments occur • Route calls to appropriate MCO departments • Monitor incoming faxes and overflow vendor reports • Engage interpreter services when needed • Provide clinical oversight and review of overflow-vendor calls • Assist callers with barriers to care and identify available resources • Provide consultation, support, and training to non-licensed Call Center staff • Recognize and report quality concerns and atypical call/service-seeking patterns
• Master’s degree in Human Services field • Minimum of three (3) years post degree experience in a community, business or governmental program delivering mental health support services • Current, active, and unrestricted behavioral health license issued by a North Carolina Professional Board (LCSW, LCMHC, LCAS, LPA, LMFT) • Knowledge of relevant state and federal laws, client rights, mandatory reporting, and confidentiality • Knowledge of Crisis Intervention, Motivational Interviewing, and Systems Theory • Knowledge of culturally competent practices • Knowledge of DSM-5 • Thorough knowledge of MCO/LME structure within the North Carolina mental health system • Thorough knowledge of ASAM Criteria and resources in the identified catchment area • Skill using multiple software platforms and strong keyboarding skills • Skill troubleshooting minor technological issues independently • Ability to assess clinical level of need telephonically • Ability to multitask, prioritize work independently, and remain composed during high-stress crisis calls • Ability to provide crisis response and deescalate difficult callers • Ability to coordinate effectively with staff from various agencies • Ability to communicate clearly orally and in writing • Must reside in North Carolina • Ability to work weekends and some holidays • Must attend an initial 6 to 8-week virtual training period, Monday-Friday, 9 a.m. to 5 p.m.
• Medical, Dental, Vision, Life, Long Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote options • Paid time off including vacation, sick leave, holiday, management leave • Dress flexibility • Home-based work supplies and technologies
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