ABOUT OUR COMPANY
ValueOptions ® is a health improvement company that serves more than 32 million individuals. On behalf of employers, health plans and government agencies, we manage innovative programs and solutions that directly address the challenges our health care system faces today. A national leader in the fields of mental and emotional wellbeing, recovery and resilience, employee assistance, and wellness, ValueOptions helps people make the difficult life changes needed to be healthier and more productive. With offices nationwide and a network of more than 130,000 provider locations, ValueOptions helps people take important steps in the right direction. We help them live their lives to the fullest potential.
ABOUT OUR PEOPLE
At ValueOptions, it’s more than a job. Our employees embrace the company vision of helping people lead healthier lives. The over 3,100 employees on our team enjoy challenging career growth in an environment that values integrity, innovation, consumer engagement and joint accountability. Employees have access to comprehensive benefit packages; corporate discounts; continuing education opportunities, including our online learning portal, and more. At ValueOptions we strive to build a boundless culture and community of professionals that includes honest, open and free-flowing communication. We are passionate about the work we do.
If you have a passion to make a difference and a thirst to actively develop your knowledge and skills, join the ValueOptions team!
ABOUT THE POSITION
We are currently seeking a dynamic CLINICAL SERVICES CARE COORDINATOR to join our team at our office in Tampa, FL. The CLINICAL SERVICES CARE COORDINATOR is a bridge between customer service and clinical care managers. This individual must function at a high level, with accountability for high-interest tasks, with minimal oversight and will be assigned all high-interest, high-risk tasks required by the contract that don’t require a licensed individual to perform that support department performance expectations. .
Conducts telephonic surveys of discharged members to assure that follow-up services were scheduled within the required timeframes as per each contract as required by the state
Provides interface with the forensic and state hospital system to coordinate services upon release from those facilities as required by the state
Coordinates communication between funding sources to ensure that proper notice is given to AHCA when a member changes level of care (e.g moving to and from a FACT team) as required by the state
Facilitates member/provider education on eligibility concerns such as members moving from one plan to another as required by the state
Manages AAA requests in accordance with state law and HIPAA regulations
Manages new operational projects as assigned and provides operational assistance to the Director as needed
Assists with testing of the IT system for scheduled releases and as needed
Maintains confidentiality in all member, provider, and internal/external communications.
Maintains appropriate tracking and database management for assigned activities and for department provider monitoring activities
Education : College degree preferred. High School Diploma with additional education, training and/or relevant experience will be considered.
Relevant Work Experience: Prefer a minimum of 5 years of experience working within the mental health field with direct (by phone or face-to-face) patient contact. Good computer skills including experience managing Excel spreadsheets and/or databases, and excellent telephone skills are required. One year of managed care experience is a plus. This individual must have excellent problem solving skills, negotiation skills, and be able to manage complex work flows independently.
Knowledge, Skills & Abilities :
- Strong customer service orientation and excellent verbal communication skills
- Knowledge of community resources, provider network, and services available
- Knowledge of database management to track projects
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ValueOptions is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.
ValueOptions, a Beacon Health Options company, is a health improvement organization that serves more than 34.2 million individuals. On...