In this position, you will provide information to members and providers regarding mental health and substance abuse benefits, community treatment resources, and the company Behavioral Health policies and procedures, and criteria.
In this role, you will collaborates with clients, families and providers by assessing patient needs, facilitating clinical care, planning, education, monitoring and evaluating of specific services either by phone and/or by onsite visits.
In this role, you will be responsible for appropriate application of medical policy and criteria. Communicating and executing corporate initiatives. Management and control of departmental expenditures defined by cost center allocation.