After Care Coordinator - Behavioral Health

Elevance HealthTampa, FL
7dRemote

About The Position

Work location – Virtual This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Position specific details: The successful candidate will be domiciled in Florida. The After Care Coordinator – Behavioral Health is responsible for assisting with non-clinical duties for all phases of follow up after inpatient services. Primary duties may include, but are not limited to: Follows up on members who are identified by clinical operations as needing aftercare follow up. Verifies compliance with initial follow-up appointments. Provides assistance with referral to a provider if initial appointment is not attended. Assists members in coordinating outpatient follow-up. Checks provider availability. Documents results of follow up calls in system. Completes non-clinical assessment tools relating to after care or HEDIS activities. Calls members and providers and gathers discharge and other non-clinical information from providers/facilities as scripts and workflow allow. Develops and completes reports for completion of outstanding after care activities as needed internally and as requested by clients. Assists and provides non-clinical activities related to HEDIS expectations as determined by quality management leadership. Assists quality management staff with non-clinical work tasks as needed.

Requirements

  • Requires a H.S. diploma or equivalent and experience in customer service and/or related field; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

  • Experience with office software such as Word, Excel, and PowerPoint preferred.
  • BA/BS in health-related field preferred.
  • Experience working in behavioral health is preferred.

Responsibilities

  • Follows up on members who are identified by clinical operations as needing aftercare follow up.
  • Verifies compliance with initial follow-up appointments.
  • Provides assistance with referral to a provider if initial appointment is not attended.
  • Assists members in coordinating outpatient follow-up.
  • Checks provider availability.
  • Documents results of follow up calls in system.
  • Completes non-clinical assessment tools relating to after care or HEDIS activities.
  • Calls members and providers and gathers discharge and other non-clinical information from providers/facilities as scripts and workflow allow.
  • Develops and completes reports for completion of outstanding after care activities as needed internally and as requested by clients.
  • Assists and provides non-clinical activities related to HEDIS expectations as determined by quality management leadership.
  • Assists quality management staff with non-clinical work tasks as needed.

Benefits

  • We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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