Job Description

Your Role

Your Role The Behavioral Health (BH) Utilization Management (UM) Intake team is responsible for timely accurate processing of treatment authorization requests. The Clinical Service Coordinator, Specialist will report to the Manager, Operations BH UM Intake. In this role you will be the team Lead, providing training and operations support to other Clinical Services Coordinators, assist with production monitoring, and represent the BH UM Intake team as the subject matter expert (SME) in cross-departmental meetings. 

Your Work

• Be a resource and educator for the team 
• Handle customer/provider problematic calls 
• Precept new hires 
• Provide workflow guidance to offshore representatives 
• Assist with process and system related issues; develop and implement solutions 
• Represent the BH Intake Team as a SME in cross-departmental meetings 
• Identify documentation/process updates and coordinate updates with the document writers 
• Assist the Manager with day-to-day operations and caseload monitoring

Your Knowledge and Experience

• Requires at least 7 years of prior relevant experience 
• Requires a high school diploma or equivalent 
• Requires at least 2 years of experience working for a Health Plan 
• Requires a deep understanding of multiple processes and ability to think critically 
• Requires the ability to train and coach staff 
• Requires the ability to work independently and make decisions quickly and effectively

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