Senior Behavioral Health Advocate- Springfield, IL
Posted on: January 17, 2020
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 Health
Department: Population Health Services
Position Location: Detroit, MI
--- 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
--- 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
--- 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.
--- Required A Bachelor's Degree in Social Work (BSW), Psychology,
Counseling, Rehabilitation, or other relevant field
--- 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
--- Required 2 years of experience in a managed care
--- Intermediate Ability to work independently Ability to work
independently, handle multiple assignments and prioritize
--- 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
--- 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
--- Intermediate Knowledge of healthcare delivery
--- Intermediate Knowledge of community, state and federal laws and
Licenses and Certifications:
A license in one of the following is required:
--- Preferred Licensed Bachelor Social Worker (LBSW)
--- 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
Headquartered 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
www.wellcare.com. 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
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