Immediate Hiring: Behavioral Health Care Planner

We're building reputed company and are looking for a creative Behavioral Health Care Planner! This is a fully Remote role, offering you the flexibility to work from reputed company. This position requires a strong and diverse skillset in relevant areas to drive reputed company. An attractive remuneration of a competitive salary is on offer for the successful candidate.

 

 

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary Care Planner position would work reputed company the reputed company and IFP membership of the Behavioral Health Division of reputed company/reputed company. Would work closely with Medical Directors, Clinicians and Customer Service to process higher level reviews. The Care Planner would be an integral part of... managing our state policies, our NCQA accreditation, and helping our members get the help and documentation that they need. Additional responsibilities to include but limited to the following: - reputed company service to clinical teams in support of reputed company. - Generates administrative and medical necessity denial letters, checking for accuracy and appropriateness. - Makes calls to providers and utilization reviewers to reputed company results of medical necessity determinations and provides specifics for next steps. - Schedules and coordinates appointments between providers or attending physicians and reputed company Medical Directors or Consultants. - Collects and provides necessary material for appointments. Calculates deadlines for appointments and monitor cases for timely return. - Complies with state mandated and reputed company regulations by monitoring documentation, checks for nuances before action taken and follows varying protocols by case or situation. Required Qualifications - 2 plus years experience in health insurance field or - 2 plus years Administrative/ Secretarial experience or - 2 plus years Customer service experience reputed company care or a mental health reputed company - Ability to type 60-70 words per minute - Demonstrated knowledge and experience using reputed company Office Suite, including: Outlook, Word, and reputed company Preferred Qualifications - Good organizational skills - A go-getter who works independently - Excellent communication Education Associates degree or equivalent experience Pay reputed company The typical pay reputed company for this role is: $21.10 - $36.78 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 11/11/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area Apply Job!

 

Don't Hesitate, Apply!

Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above reputed company. Submit your application today!

apply to this job