Blue Cross and Blue Shield of Minnesota · 1 month ago
Behavioral Health Care Advisor – Substance Use Disorders
United States
Full-time
Remote
Entry Level
$67K/yr - $111K/yr
1+ years expBlue Cross and Blue Shield of Minnesota is dedicated to transforming healthcare and helping individuals achieve their healthiest life. The Behavioral Health Care Advisor role focuses on providing clinical support to members dealing with substance use disorders, helping them set recovery goals while ensuring culturally sensitive care.
Insurance
Responsibilities
Receives referral and/or reaches–out to member and leverages clinical knowledge, motivational interviewing and behavioral modification techniques
Conducts comprehensive clinical assessments; gathers, analyzes, synthesizes and prioritizes member needs and opportunities
Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high-quality effective outcomes
Serves as a member advocate by identifying underlying needs and facilitates referrals to external resources and services in the health care system, as appropriate
Independently assesses member’s needs, gathers accurate and comprehensive member information, and research resources and assistance programs that may be available to members in multiple states and across all lines of business. Match these resources as appropriate to support needs of members
Identify resource gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as appropriate
Monitors and evaluates plan of care over time
Ensures member data is documented according to BCBSMN application protocol and regulatory standards. Maintains a strict standard of confidentiality to ensure that our members protected health information (PHI) is secure
Engage providers telephonically in reviewing and understanding treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings
Attend community events to engage with members
Qualification
Required
Registered nurse with current MN license and with no restrictions or Behavioral Health Professional that is Clinician licensed for independent practice with one or more of the following licenses with no restrictions: Licensed Marriage and Family Practice (LMFT), Licensed Independent Clinical Social Worker (LICSW), Licensed Psychologist (LP), Licensed Professional Clinical Counselor (LPCC)
1 year of county and/or hospital experience
Medicaid/Medicare and/or Public Programs experience
Knowledge and understanding of the experiences and need(s) of marginalized communities
Demonstrates strong empathy and relationship building skills
Strong acumen in communication skills including listening, speaking and writing skills
Strong computer application skills
High school diploma (or equivalency) and legal authorization to work in the U.S
Preferred
Medical/ Behavioral Health call center or managed care experience
Active, unrestricted Licensed Alcohol and Drug Counselor (LADC) licensure
Process and project management experience
1+ years of managed care experience, e.g. case management/health coach, utilization management and/or auditing experience
Benefits
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
Company
Blue Cross and Blue Shield of Minnesota
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Carrie S. Lawrence
Executive Administrator to the President & CEO and Chief of Staff
Patsy Riley
Chief Goverment Officer and Senior Vice President and CEO, ClearStone Solutions
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