Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable. Health Net, through its subsidiaries, provides and administers health benefits to approximately 5.4 million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as "Part D"), Medicaid, U.S. Department of Defense, including TRICARE, and Veterans Affairs programs. Health Net's behavioral health services subsidiary, Managed Health Network, Inc., provides behavioral health, substance abuse and employee assistance programs to approximately 4.9 million individuals, including Health Net's own health plan members. Health Net's subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.
For more information on Health Net, Inc., please visit the company's website at
Consults with client companies for improving performance of employees who have a variety of psychological and personal issues. Makes referrals to network providers for assessment and recommendations and follows up with affected parties to determine if changes are needed.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Facilitates and authorizes response to catastrophic and traumatic events to minimize the negative impact on absenteeism and productivity.
Consults with client company management representatives, including executives, human resources, supervisors, managers, and medical departments on how to optimize work performance of employees who may have a variety of psychological and personal issues, such as chemical dependency, psychosis, grief, depression, suicide, personality disorders, work place threats, disasters, etc. Consultation may be performed in a call center environment answering calls in a queue or on-site with the client company.
Coordinates Fitness of Duty requests with client companies.
Coordinates, authorizes and supervises job performance referrals (JPR) to network providers for assessment and recommendations when issues interfere with workplace performance. Follows-up, further advises, and gives feedback to providers and management. Initiates, maintains, completes and accurately follows-up on all computer records generated on client company management's behalf.
Strategize with and coach management on how to appropriately intervene with dysfunctional work groups and/or systems to bring full functioning as an effective work organization.
Meets with key account personnel to sustain and maintain business relationships and customizes services to reflect the needs and culture of the company. Assist in identifying services that might be appropriate for up sell and/or Fee-For-Service opportunities.
Provides ongoing follow-up with provider, treatment centers and management on chemical dependency cases for one year to determine if employee is compliant and case is appropriately managed and to recommend changes as appropriate. Follows-up with employee on certain chemical dependency cases to insure employee is compliant with contract.
Provides guidance to customers on client company work place policies on a variety of subjects (including, but not limited to, work place violence, chemical dependency) and recommends changes to optimize policies.
Performs other duties as assigned.
Clinical licensure (MFT, LCSW, psychologist)
Two years Employee relations and/or management background
Two years Experience in EAP field
Working knowledge of chemical dependency
Knowledge, Skills & Abilities:
Effective organization, communication, public relations and presentation skills
Must be able to work well in a variety of business settings
Computer skills and word processing ability
Ability to travel
The following section describes the general physical requirements for this position. Please note that 'constant' refers to more than 81% of time; 'significant' refers to 40-80%; and 'moderate' refers to 20-40% of the time.
Operates personal computers, printers, facsimile, telephones, copy machines and other commonly used office accessories/equipment.
Exposed to confidential information and expected to maintain confidentiality at all times; must adhere to HIPAA rules and regulations.
May be required to work outside of normally scheduled hours as mandated by the client, project and/or workload (e.g. evenings, weekends, and/or holidays).
May be required to maintain established work pace, meet deadlines; may have last minute urgent requests.
Physical activity may include: twisting, reaching, kneeling, bending, stooping, squatting, crawling, grasping, grabbing, pushing, pulling, repetitive motion, climbing, etc.
Required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.
Required to have hearing ability to receive detailed information through oral communication.
Required to have speaking ability to express or exchange ideas.
Constant thinking at work may include listening, learning, analyzing, evaluating, and the ability to interpret what is seen and/or heard, or to link information from one or several things to the next.
Constant interaction with others may be required.
May need to listen, think, and speak in order to interact with others. Business interactions and behavior between coworkers and/or external customers are required. This may require face-to-face or telephone interactions.
Constant concentration may be required on various subjects by listening, reading and thinking clearly.
Constant reading is required via computer screen and/or bound printed materials.
Constant sedentary work (desk bound or seated).
Significant may work in a loud office environment with frequent interruptions/distractions.
Moderate travel may be required between work sites and/or out of area.
Significant phone usage; headsets may be required.
Moderate repetitive arm, wrist, hand and finger motions -- making repetitive movements (e.g. key boarding, filing, data entry).
Moderate computer usage including typing and/or eye strain.
Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.
Health Net, Inc. supports a drug-free work environment and requires pre-employment background and drug screening.
Health Net and its subsidiaries are an Equal opportunity/Affirmative Action Employer M/F/V/D.
Health Net - 2 years ago