Behavioral Health Care Advisor - Substance Use Disorders

Description

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an affirmative action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Behavioral Health Care Advisor - Substance Use Disorders

Remote

We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Behavioral Health Care Advisor with a concentration in Substance Use Disorders is a critical component of the BCBSMN Care Management team. Behavioral Health Care Advisors provide clinical approaches that serve and support members from communities, helping them discover strengths and develop unique recovery goals. These services aim to assist individuals experiencing acute mental health challenges by providing culturally sensitive support.

• 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.
• Independently assesses member’s needs, gathers accurate and comprehensive member information, and researches resources and assistance programs that may be available to members in multiple states and across all lines of business. Matches these resources as appropriate to support needs of members.
• Identifies resource gaps internally or for the member, health plan or provider coverage needs, and raises 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.
• Engages 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.
• Attends community events to engage with members.

• Registered nurse with current MN license and 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 needs 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.

• 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.

Pay Range: $68,900.00 - $91,300.00 - $ annual.

Benefits:

• Medical, dental, and vision insurance
• Life insurance
• 401(k)
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.