Adecco US, Inc.
Adecco Healthcare & Life Sciences
is working with our client to hire REMOTE Care Advocates. Associates can reside anywhere; HOWEVER you MUST be licensed in the State of Colorado!
Type:
Contract to Hire
Hours:
9:30a-6p (MST)
Pay Range:
$39-$41/hour
Responsibilities
Process all Behavioral Health and Substance Use Disorder authorizations submitted by providers within the designated turnaround times specified in the Prior Authorization List for all lines of business, including RMHP DSNP, RMHP Medicare, RMHP PRIME Medicaid, RMHP RAE Medicaid, RMHP CHP+, RMHP IFP, and NHP RAE Medicaid
When processing authorization requests, the Clinical Coordinator applies approved medical necessity criteria and appropriately escalates when necessary
Collaborates with leadership to discuss authorization requests when additional guidance is required
Proactively manages and identifies potential barriers for members
Collaborates with the medical director on complex cases to ensure members receive appropriate treatment
Refers members to the RMHP Care Coordination Department when specific needs are identified
Notifies providers and requestors of all authorization determinations
When a case is determined not to meet criteria, corresponds with the requesting provider to offer a peer-to-peer consultation with the RMHP medical director, allowing the provider to present additional information before a final decision is made
When a medical director issues a denial, the Clinical Coordinator drafts a letter informing the member and the requesting provider of the decision, the reasons for the decision, and offers alternative treatment options
Verifies eligibility of providers and members for all authorization requests
Inputs authorization requests into an electronic health record
Promptly provides assistance to callers routed to the BH UM department
Requirements
Current, unrestricted independent licensure as a LAC, LPC, LMFT, LSCW, or RN
in Colorado
4+ years directly serving individuals with behavioral health conditions (mental health/substance use disorders)
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.
1+ years of experience with MS Office, including Word, Excel, and Outlook
Substance use treatment experience and/or behavioral health treatment experience
Why work for Adecco?
Weekly Pay on Friday
401(k) Plan
Skills Training
Excellent medical, dental, and vision benefits
IMPORTANT: This Care Advocate role is being recruited for by Adecco’s Healthcare & Life Sciences division, not your local Adecco Branch Office.
Pay Details $39.00 to $41.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
#J-18808-Ljbffr
is working with our client to hire REMOTE Care Advocates. Associates can reside anywhere; HOWEVER you MUST be licensed in the State of Colorado!
Type:
Contract to Hire
Hours:
9:30a-6p (MST)
Pay Range:
$39-$41/hour
Responsibilities
Process all Behavioral Health and Substance Use Disorder authorizations submitted by providers within the designated turnaround times specified in the Prior Authorization List for all lines of business, including RMHP DSNP, RMHP Medicare, RMHP PRIME Medicaid, RMHP RAE Medicaid, RMHP CHP+, RMHP IFP, and NHP RAE Medicaid
When processing authorization requests, the Clinical Coordinator applies approved medical necessity criteria and appropriately escalates when necessary
Collaborates with leadership to discuss authorization requests when additional guidance is required
Proactively manages and identifies potential barriers for members
Collaborates with the medical director on complex cases to ensure members receive appropriate treatment
Refers members to the RMHP Care Coordination Department when specific needs are identified
Notifies providers and requestors of all authorization determinations
When a case is determined not to meet criteria, corresponds with the requesting provider to offer a peer-to-peer consultation with the RMHP medical director, allowing the provider to present additional information before a final decision is made
When a medical director issues a denial, the Clinical Coordinator drafts a letter informing the member and the requesting provider of the decision, the reasons for the decision, and offers alternative treatment options
Verifies eligibility of providers and members for all authorization requests
Inputs authorization requests into an electronic health record
Promptly provides assistance to callers routed to the BH UM department
Requirements
Current, unrestricted independent licensure as a LAC, LPC, LMFT, LSCW, or RN
in Colorado
4+ years directly serving individuals with behavioral health conditions (mental health/substance use disorders)
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.
1+ years of experience with MS Office, including Word, Excel, and Outlook
Substance use treatment experience and/or behavioral health treatment experience
Why work for Adecco?
Weekly Pay on Friday
401(k) Plan
Skills Training
Excellent medical, dental, and vision benefits
IMPORTANT: This Care Advocate role is being recruited for by Adecco’s Healthcare & Life Sciences division, not your local Adecco Branch Office.
Pay Details $39.00 to $41.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
#J-18808-Ljbffr