Careworker
Careworker - CMC
Job Summary Locates services for patients with the goal of supporting the coordination of care such that members are able to access care in a timely manner and to remain in the least restrictive level of care appropriate to their functioning. Facilitates continuity of care as patients move through levels of care as authorized by clinical staff. Essential Functions Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found. Links clients to appropriate services within the community. Assists in discharge planning for hospitalized patients and makes appropriate placements as needed. Participates in the treatment team and assists in coordinating psychological and psychiatric services for the patients. Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Magellan policies and procedures. Assists in the adhoc process. Participates in QI activities, including data collection, tracking, and analysis. Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role. Assists in the mentoring and training of new specialists. Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers. Contributes to process improvements to enhance achievement of personal, team and CMC goals. Non-essential Functions Maintains current and accurate records, adhering to company policies and laws governing patient records; performs related duties as requested. Minimum Requirements Education: Associates Degree Experience: 1-3 years Industry: Behavioral Health Job Specific: Working with mentally ill population Computer Skills: Basic computer skills Other Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources; excellent verbal and written communication; able to multi-task. Preferred Qualifications Education: Bachelors degree in a behavioral health related field preferred. Works under the supervision of a clinical supervisor. Primary Location - TN-ChattanoogaTN-1CameronHillCir Work Locations - 1 Cameron Hill Cir (TN08) 1 Cameron Hill Cir Chattanooga Magellan Health Services is a leading specialty health care management organization with expertise in managing behavioral health, radiology and specialty pharmaceuticals, as well as public sector pharmacy benefits programs. We deliver innovative solutions to make a positive impact on the cost and quality of health care, keeping the best interests of the people we serve at the center of our decision-making. The breadth of our offerings, depth of expertise, clinical excellence and smart, talented employees is what makes us unique. Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment where we value professional growth and development, total health and wellness, rewards and recognition and employee unity. Magellan is a place where you can thrive.