
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.
🔥 12 hours ago
🌲 North Carolina – Remote
💵 $69.6k - $88.7k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
👻 Ghost score 0%
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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 of the 24-hour Behavioral Health Crisis line • Conduct telephonic screening, triage, assessments, reviews, and referrals • Receive escalated calls involving urgent or emergent needs, including psychosis, suicidality, homicidality, intoxication, withdrawal, or medical emergencies • Make clinical triage decisions based on limited information from telephonic screenings • Ensure comprehensive screening and referrals match the required level of service • Maintain caller safety, including contacting and mobilizing EMS, CIT officers, police, and mobile crisis teams • Engage Decision to Warn for callers with active homicidal ideation according to policy • Report to Child Protective Services and Adult Protective Services when warranted • Identify high-risk or special health care needs populations and refer them to Care Coordination • Review caller history in the client management system to determine appropriate referral options • Schedule assessment appointments with contracted providers using an 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 activities for scheduled assessments and crisis follow-up appointments • Route calls to appropriate MCO departments when needed • Monitor incoming faxes and overflow vendor reports to ensure written referrals receive timely attention • Interact with community emergency services and engage interpreter services when needed • Provide clinical oversight and review of overflow vendor calls • Assist callers with obstacles to accessing care and identify available resources • Provide consultation and support to non-licensed Call Center staff • Train incoming staff and provide additional training throughout clinical operations • Read, integrate, and adapt procedural tasks in a rapidly changing, paperless environment • Report quality concerns and atypical call or service-seeking patterns to supervisors
• Master’s degree in Human Services field • Minimum of three (3) years post degree experience in a community, business or governmental program that delivers 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 the Diagnostic and Statistical Manual of Mental Disorders, 5th edition • 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 in using multiple software platforms and strong keyboarding skills • Skill troubleshooting minor technological issues independently • Ability to assess clinical level of need telephonically • Ability to provide crisis response and deescalate difficult callers • Ability to coordinate effectively with staff from various agencies • Ability to manage time, solve problems, and prioritize work independently • Ability to remain composed during high-stress, crisis-related calls • Microsoft Office proficiency • Communication, crisis intervention, and customer service expertise • Must reside in North Carolina • Some holiday hours are required
• 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
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