Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, transportation and/or helping with locating support groups, as applicable. Evaluate the psychosocial and emotional needs of members with ongoing and/or situational medical concerns through coaching, education, and support for low acuity emotional needs. Coordinating referrals for behavioral health services when their emotional/mental health needs are more chronic in nature. Will assist the member in both inpatient or outpatient settings and will provide discharge planning assistance, as appropriate, during an inpatient stay. Other functions also include episodic case management, determining member assignment of treatment, and pre-admission/post-discharge counseling for acute conditions. May travel to members home-settings to evaluate or coordinate treatment needs. Will provide mentoring/training to team members and/or leads projects/initiatives for the department/division/enterprise.This position is Remote / Telecommute
- Client Facing position
- CCM Certification required
JOB REQUIREMENTS:
- Master Degree in one of the following Behavioral Health areas: Social Work, Psychology, Human Services, with current unrestricted clinical license/certification in good standing in the state(s) of operation
- 2 years of utilization management, discharge planning or managed care experience
- 3 years of clinical practice experience including complex case management
- Provider side insurance experience
- Certified Case Management credentialing and /or ACM certification
- Customer service oriented
- PC proficiency to include Word, Excel, and database experience
- Leadership skills/Project Management skills
- Verbal and written communication skills
- Ability to remain at a work station and perform computer entry for long periods of time, as required
- Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management
- Current valid driver's license and transportation
PREFERRED JOB REQUIREMENTS:
- 2 years of experience of direct clinical care to the consumer
- Familiarity with ancillary services including Home Health Care (HHC) or Skilled Nursing Facility (SNF)
- Ability to travel, which may include overnight stays.
- Strong business acumen and communication
- Prior experience in working with Sales and Account management teams, and clinical teams.
- Prior experience and knowledge of employer health and wellness programming and how this connects to clinical operations.
- Previous experience in delivery of health and clinical educational content to the client/employee audience
- Prior experience in a consulting role, working for an EAP or similar.
- Bilingual a plus
- Experience in Motivational Interviewing
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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