Crisis Intervention Specialist Ii (Contract)

Job ID: JP00043331

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

This is for a 24/7/365 call center environment. Crisis and or mental health experience, assessing for needs of individuals in crisis, locating resources, de-escalating and supporting callers, documenting all real time, taking inbound texts and chats.

Primary duties may include, but are not limited to:

• Obtains intake (demographic) information from caller.
• May act as liaison between Medical Management and internal departments.
• Verifies benefits and/or eligibility information.
• Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for precertification and/or prior authorization.
• Conducts a thorough radius search in Provider Finder and follows up with provider on referrals given.
• Conducts clinical screening process.
• Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
• Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care.
• Responds to telephone and written inquiries from clients, providers and in-house departments.
• Managing incoming calls or incoming post services claims work.

Requirements:

• Requires HS diploma or equivalent; 2 years customer service experience in healthcare related setting and medical terminology training; or any combination of education and experience, which would provide an equivalent background.
• Crisis line or mental healthcare experience preferred
• Motivational interviewing or similar skills
• Strong oral, written and interpersonal communication skills
• Master’s Degree or Bachelor's degree
• De-escalation skills
• Experience working on a text/chat platform completing assessments preferred
• Problem-solving skills
• Customer service skills
• Mental Health Assessment experience preferred

Additional Details:

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• Work from home/ remote. Temp- Hire
• This role supports the Vibrant Text/Chat Service.
• Work shift 12pm-8:30pm Tues-Sat
• Training is M-F, 10a-6:30p, regardless of hired shift, and training must be attended in its entirety. Training for this program is approximately 2 weeks.

BCforward is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

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