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SalaryPlease email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
Location: Hybrid
Compensation: $25.33 - $34.23
Jump into the new world of health insurance:
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.
Join others who know diversity is strength:
We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.
Why this job matters:
Provide specialized support to clinical staff by responding to member phone calls and case management requests. Outreach to members to determine if the member has any specific needs or after gaps in care have been identified. Enroll members into Behavioral Health management programs utilizing engagement skills and motivational interviewing techniques. Conduct assessments, monitor, and implement personal lifestyle plans with the member, the member’s family, and health care providers in a holistic approach via telephone, web, e-mail, or mail. Provide information to empower members to make decisions about personal healthcare and increase self-management abilities.
What you will do:
- Respond to member phone calls and conduct outreach calls to identified members; facilitate problem resolution through research. Refer call to appropriate resources in a timely manner.
- Promote Behavioral Health management programs and provide community resources available to members; utilize engagement skills and motivational interviewing techniques to enroll members in programs.
- Perform Behavioral Health assessments with members and caregivers.
- Assist with coordinating patient care, e.g., transportation arrangements, medical appointment reminders, referrals, and preventive care education and/or follow-up care adherence. Refer and assist clients in accessing needed resources to meet identified needs, including grant applications, medication assistance, transportation, behavioral and substance abuse treatment, etc.
- Maintain supportive communication with the member via the member’s channel preference (phone, web, e-mail, mail); provide education, monitor and reporting compliance, identify gaps in care, and adjust the plan as needed.
- Consult with internal clinical staff as needed when assessment or gaps in care indicate increasing severity of the member’s condition requiring more intense monitoring and intervention.
- Consult with other clinical staff (dietician, nurses, Behavioral Health clinician, medical director) on an as needed basis.
- Participate in clinical rounds with Behavioral Health case management, Behavioral Health utilization management and medical director.
- Assist team with department initiatives and projects.
- Perform other duties as assigned.
- High school diploma or GED
- Two to four years of experience in a mental health-related position.
- Extensive knowledge and experience navigating the Behavioral Healthcare and community resource delivery systems.
- Strong communication and relationship-building skills and experience working with vulnerable populations.
- Engagement skills necessary for enrolling members into health management programs
- Persuasive skills required to negotiate, develop, influence, motivate, and move others through the stages of behavior change
- Interpersonal skills in order to interact effectively with internal and external customers
- Ability to research data, identify trends and recommend appropriate actions
- Detail oriented
- Ability to work successfully in a matrix environment
- Demonstrated written and verbal communications skills
- Ability to exercise sound judgment
- Ability to establish and maintain strong working relationships with various stakeholders
- Ability to organize work efficiently to meet established time and quality standards
- Good organization skills
- Good time management skills
- Proficiency with Microsoft Suite of products, i.e., Word, Excel, PPT, etc
- Associate's or Bachelor's degree in healthcare-related field or community health worker certification.
- Multilingual.
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
- In-office: onsite 5 days per week
- Hybrid: onsite 2-4 days per week
- Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster.
