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Referral Specialist
Job Family: CUS > Care Support
Type: Full time
Date Posted:Apr 15, 2024
Anticipated End Date:Jun 26, 2024
Reference: JR112043
Location:
NJ, ISELIN
PA, SEVEN FIELDS
VA, ARLINGTON
CA, DOWNEY
IN, INDIANAPOLIS
OH, COLUMBUS
CT, ROCKY HILL
NY, BROOKLYN
CA, RANCHO CORDOVA
NC, DURHAM
CA, BAKERSFIELD
WA, LAKEWOOD
CA, VISALIA
ID, MERIDIAN
WA, VANCOUVER
MI, DEARBORN
FL, TALLAHASSEE
CA, WHITTIER
NY, Lake Success
CO, COLORADO SPRINGS
NJ, LAKEWOOD
OH, NORWOOD
CA, NEW PORT BEACH
OH, DUBLIN
NY, ALBANY
CA, SACRAMENTO
CA, WALNUT CREEK
PA, HERMITAGE
FL, NAPLES
WA, SEATTLE
TX, GRAND PRAIRIE
NV, LAS VEGAS
IL, CHICAGO
MI, DEARBORN
TN, NASHVILLE
IL, SPRINGFIELD
NV, RENO
CO, DENVER
MO, KANSAS CITY
TX, CONROE
VA, NORFOLK
FL, SPRING HILL
TN, MURFREESBORO
CO, GREENWOOD
CA, LOS ANGELES
GA, SAVANNAH
MD, HANOVER
VA, Virginia Beach
CA, Cypress
CA, BREA
NY, BRONX
MO, OVERLAND
NY, COLLEGE POINT
FL, CAPE CORAL
NY, STATEN ISLAND
NY, JAMAICA
TX, NORTH RICHLAND HILLS
TX, SUGAR LAND
TX, HOUSTON
FL, HIALEAH
NY, FLUSHING
TX, DALLAS
NY, RICHMOND HILL
FL, MIAMI
TX, ROUND ROCK
TX, COPPELL
TX, DENISON
MA, BOSTON
NY, HEMPSTEAD
TX, WACO
IA, DES MOINES
FL, VENICE
MO, ST. LOUIS
FL, PLANTATION
FL, FORT MYERS
OH, CINCINNATI
NC, ASHEVILLE
FL, ORANGE CITY
NY, NEW YORK
FL, SARASOTA
CA, LOS ANGELES
FL, LAUDERDALE LAKES
CA, APPLE VALLEY
FL, MIAMI
TX, WEBSTER
CO, DENVER
LA, DENHAM SPRINGS
TX, CORPUS CHRISTI
TX, BEE CAVE
NY, BUFFALO
TN, BRENTWOOD
NJ, PATERSON
DC, WASHINGTON
TX, BELLAIRE
MN, MENDOTA HEIGHTS
MO, CAPE GIRARDEAU
CO, ENGLEWOOD
MO, SPRINGFIELD
VA, ASHBURN
MO, COLUMBIA
NC, MORRISVILLE
CA, SAN FRANCISCO
NC, CARY
WI, MADISON
NY, ASTORIA
TX, SAN ANGELO
WV, CHARLESTON
TX, KYLE
DE, WILMINGTON
OH, SEVEN HILLS
RI, SMITHFIELD
CA, LOS ANGELES
TX, PLANO
FL, CLEARWATER
NC, WINSTON
CA, PLACENTIA
GA, ATLANTA
CA, SANTA ANA
TX, FORT WORTH
DC, WASHINGTON
TX, AUSTIN
IL, DEERFIELD
CA, FULLERTON
KY, SHELBYVILLE
FL, ALTAMONTE SPRINGS
FL, NEW PORT RICHEY
NC, RALEIGH
FL, FORT PIERCE
TN, MEMPHIS
FL, LARGO
CA, UPLAND
CA, WHITTIER
TN, KNOXVILLE
FL, OCALA
VA, ROANOKE
TX, EL PASO
CA, W COVINA
CA, LA HABRA
FL, TAMPA
CA, LAWNDALE
CA, WOODLAND HILLS
CA, LA MIRADA
NY, NEWBURG
FL, JACKSONVILLE
VA, HARRISONBURG
MD, BALTIMORE
NJ, MORRISTOWN
California, Los Angeles
WI, Waukesha
CA, DOWNEY
FL, PEMBROKE PINES
VA, RICHMOND
KY, LOUISVILLE
CA, LONG BEACH
TX, SAN ANTONIO
NH, MANCHESTER
TX, ARLINGTON
NY, EAST SYRACUSE
IL, SCHAUMBURG
VA, CHESAPEAKE
MN, GILBERT
LA, METAIRIE
NY, MIDDLETOWN
CA, NORWALK
TX, KATY
TN, HENDERSONVILLE
NV, HENDERSON
CA, Downey
GA, ALPHARETTA
GA, COLUMBUS
DC, WASHINGTON
CA, PICO RIVERA
CA, HACIENDA HEIGHTS
NC, FAYETTEVILLE
CT, WALLINGFORD
CA, COSTA MESA
TX, LUBBOCK
CA, MONTEBELLO
CA, SAN FRANCISCO
CA, CERRITOS
KS, TOPEKA
OH, MASON
CA, LOS ANGELES
CA, WHITTIER
CO, DENVER
KY, Lexington
PA, HARRISBURG
CA, PALO ALTO
ME, SOUTH PORTLAND
California
NY, LATHAM
DC, WASHINGTON
CA, APPLE VALLEY
RI, Providence
HI, KAPOLEI
MA, WOBURN
CO, Colorado Springs
Description
Referral Specialist
Location: Remote must live within 50 miles from a Pulse Point
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
We are looking for candidates to work on the New Jersey Crisis Line with knowledge of behavioral health social services and insurance systems, and a deep understanding of the factors that impact a person’s experiences in the mental health system, including but not limited to, race, ethnicity, gender identity, sexual orientation, language proficiency, religion, disability status, socioeconomic status, criminogenic risk, and history of trauma.
Referral Specialist is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.
We operate 24 hours a day, 7 days a week, 365 days out of the year. This is a 24-hour call center, open 365 days, with varied 1st, 2nd, and 3rd shifts to include weekends.
How you will make an impact:
Initiates and manages clinical referrals for pre-authorization.
Assigns escalated referrals to staff as appropriate.
Responds to requests following established processes, meets quality and production standards.
Enters referrals, documents communications and actions in system
Conducts follow-up calls or sends emails to individuals who initially reach out through the helpline in emotional distress or crisis.
Troubleshoots barriers encountered in obtaining services.
Reviews Safety Plan, where applicable, to ensure plans remain sufficient for current circumstances.
Coordinates identification of and referrals to local, state or federally funded programs and agencies.
Dispatch Mobile Crisis Teams where those services are available.
Prepares reports and maintains the database to retain validated resources and service offerings.
Requirements:
Preferred Skills, Capabilities and Experience:
Experience working directly with individuals in need of behavioral health services strongly
Knowledge of medical terminology preferred.
For candidates working in person or remotely in the locations below, the hourly* range for this specific position is $15.38 to $24.29.
Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and 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. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.
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