• Care Advocate

    Adecco US, Inc. (Minneapolis, MN)


    **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 Include:

    + 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 Include:

    + 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.