SpringfieldILRecruiter Since 2001
the smart solution for Springfield jobs

Senior Behavioral Health Advocate- Springfield, IL

Company: WellCare
Location: Springfield
Posted on: January 16, 2020

Job Description:

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization.Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Coordinates and plans activities and behavioral routines to meet the medical, social and emotional needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care. Collaborates with the interdisciplinary team to achieve optimal resource outcomes. Reports to: Supv, Behavioral HealthDepartment: Population Health ServicesPosition Location: Detroit, MIEssential Functions: Interviews clients and their families and coordinates programs and activities to meet their social and emotional needs. Provides support to care and case managers regarding the coordination of care plans for members by utilizing social service expertise to evaluate the members need for alternative services and third party intervention. Outreaches to members telephonically and/or in-person to provide health coaching and consultation and by providing guidance regarding barriers to managing health conditions. Assists members to change behaviors and to locate and access interpersonal, family and community resources that will make it easier to manage their health. Reviews benefits options, researches community resources, coordinates services, trains behavioral routines and enables members to be active participants in their own healthcare. Provides telephone follow-up to ensure members have seen their PCP and are completing their treatment plan or preventive care services a defined by the PCP or guidelines. Coordinates community resources with emphasis on the development of natural support system. Coordinates benefits, regulations, laws and public entitlement programs. Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Assists in obtaining benefits for members through community resources when benefits are exhausted or not available. Assists with implementation of new and expanding health services initiatives. Helps establish process improvements leading to best practice and assist in implementing change movement. Trains, mentors and provides guidance to new and current Social Workers regarding policy and procedure, systemic tools, workload and care plan development. Performs other duties as assigned. Additional Responsibilities: Candidate Education:Required A Bachelor's Degree in Social Work (BSW), Psychology, Counseling, Rehabilitation, or other relevant field Candidate Experience:Required 4 years of experience in a health care environment with client care coordination responsibilities via assisting clients to change behaviors and to locate and access interpersonal, family and community resources that will make it easier to manage their health Required 2 years of experience in a managed care environment Candidate Skills:Intermediate Ability to work independently Ability to work independently, handle multiple assignments and prioritize workload Intermediate Demonstrated interpersonal/verbal communication skills Communicates effectively in person and by phone Intermediate Ability to create, review and interpret treatment plans Ability to create, review and interpret treatment plans Intermediate Ability to multi-task Intermediate Ability to work within tight timeframes and meet strict deadlines Intermediate Ability to effectively present information and respond to questions from families, members, and providers Intermediate Ability to effectively present information and respond to questions from peers and management Intermediate Demonstrated problem solving skills Intermediate Demonstrated written communication skills Intermediate Demonstrated time management and priority setting skills Intermediate Knowledge of healthcare delivery Intermediate Knowledge of community, state and federal laws and resources Licenses and Certifications:A license in one of the following is required: Preferred Licensed Bachelor Social Worker (LBSW) Technical Skills:Required Intermediate Microsoft Outlook Proficient in Microsoft Office including Outlook, Word and Excel Required Intermediate Microsoft Word Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties Required Intermediate Microsoft Excel Required Intermediate Other Knowledge of or the ability to learn company approved software such as EMMA, CRMS, Peradigm, InterQual, Sidewinder and other software in order to perform job duties. Languages:About usHeadquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at . EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: WellCare, Springfield , Senior Behavioral Health Advocate- Springfield, IL, Healthcare , Springfield, Illinois

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Travel RN - Telemetry - Eves - Minneapolis , MN
Description: FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. With access to thousands
Company: FlexCare Medical Staffing
Location: Saint Louis
Posted on: 01/25/2020

Travel RN - Interventional Radiology - Days - Fort Worth , TX
Description: FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. With access to thousands
Company: FlexCare Medical Staffing
Location: Saint Louis
Posted on: 01/25/2020

Nurse Practitioner - St. Louis practice seeking a Psychiatric Nurse Practitioner
Description: Position Description St. Louis practice seeking a Psychiatric Nurse Practitioner This is an immediate opening. They
Company: ENP Network
Location: Saint Louis
Posted on: 01/25/2020


Hematology Oncology in Missouri
Description: Hematology/Oncology opening in Saint Louis, Missouri. This and other physician jobs
Company: Vista Staffing Solutions
Location: Saint Louis
Posted on: 01/25/2020

Speech Language Pathologist, Travel - JOB-2619696
Description: Renowned hospital in Missouri seeking a skilled SLP for a 13 week assignment. Call today
Company: CompHealth
Location: Saint Louis
Posted on: 01/25/2020

RN / Registered Nurse / Missouri / Any / Chief Nursing Officer - St. Louis, MO Job
Description: Leadership that inspiresOutcomes that set the standardBE THE CONNECTION.The role of chief nursingofficer CNO affords you the ability to pursue a unique kind of professionalachievement. This is your (more...)
Company: Encompass Health
Location: Saint Louis
Posted on: 01/25/2020

Prior Authorization Nurse I (RN/LPN)
Description: Description: Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate
Company: Centene Coproration
Location: Saint Louis
Posted on: 01/25/2020

Travel RN-Long Term Care - St. Joseph, MO
Description: Hospice/Palliative Medicine opening in Saint Louis, Missouri. This and other rn jobs brought to you by NursingJobCafe.com ul li RNnetwork has an excellent travel opportunity
Company: RNnetwork
Location: Saint Louis
Posted on: 01/25/2020

Branch Sales Serv RRT (MLO) Multi- Branch Teller/Personal Banker
Description: Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a full-time (more...)
Company: PNC
Location: Saint Louis
Posted on: 01/25/2020

TELE Travel RN - Job Id: JO02848974
Description: Tailored Healthcare Staffing is seeking
Company: Tailored Healthcare Staffing
Location: Saint Louis
Posted on: 01/25/2020

Log In or Create An Account

Get the latest Illinois jobs by following @recnetIL on Twitter!

Springfield RSS job feeds