Thursday, 03 September 2020 / Published in

CLINICAL CARE SERVICE COORDINATOR – San Francisco, California

Beacon Health Options

Job Category: Clinical – Care Mgmt
Req #: CLINI02961
Schedule: Full Time
Location: CA – San Francisco

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Clinical Service Coordinator a highly organized and compassionate professional to join our team in San Francisco, CA. The Service Coordinator for the Outpatient Clinical Support team is the front line interface to Members and Providers who seek information about behavioral health benefits. Service Coordinators assist callers by providing benefit and eligibility information and referrals to network providers. The Service Coordinator transfers clinical calls to clinicians, as defined in the department policies and procedures. In addition, the Service Coordinator will be responsible for completing specified assignments that assist the department in meeting contractual and or performance goals.

What does a typical day look like?

Responds to questions about eligibility, benefits and procedures for accessing behavioral health services.

Verifies member benefits and eligibility through health plan computer access, phone, and e-mail.

Educates callers about Beacon/BCBHM services and their mental health benefits.

Obtains urgent, routine with assistance appointments within established time frame guidelines.

Verifies that member attends urgent scheduled appointment and reports outcome back to Case Manager.

Requests for Single Case Agreement for non-contracted providers per established guidelines.

Follows health plan specific contract guidelines.

Processes and completes Pre-Review Screenings per guidelines.

Coordinates with Case Manager when appropriate in understanding members’ needs.

Checks voice mail and return calls within 1 business day.

Checks e-mail to stay informed of procedures and communicate with team members.

Works with health plan, County entities, community agencies and providers to effectively coordinates member care.

Provides resources and referrals to members.

Consistently provides members, providers, and internal staff with exceptional customer service.

Utilizes Pre-Review Screening tool, makes appropriate provider referrals and/or refers to licensed clinician for clinical evaluation.

Identifies complaints and assist patients to exercise grievance rights.

Identifies calls requiring clinical evaluation or interpretation and refer to licensed clinician.

Accesses to Protected Health Information, Beacon/BCBHM and Health Plan Patient Files (ledger, authorizations, and administrative, claims, and clinical notes) as needed for Referral and Authorization; Provider files as needed for Referral and Authorization.

Interacts with providers and payers to coordinate patient care and resolve authorization issues.

Interacts with clinical CM’s, claims, IP and provider relations departments in order to service callers appropriately and process reports.

Adheres to all Beacon policies and procedures and standards of operations.

Completes all required and assigned trainings.

Attend all mandatory company or department meetings.

Report to each scheduled shift and commence work and perform essential job function at the start of each schedule shift.

Displays a positive, constructive, and helpful demeanor that is conducive to a safe and respectful work environment.

Performs special projects and other duties as assigned and required.

What you Contribute?

Education: Bachelor’s degree strongly preferred. High school diploma or GED required.

Licensure: N/A

Knowledge, Skills & Abilities:

Demonstrated experience establishing relationships and effectively engaging through telephonic communication to obtain necessary information, facilitate care, and provide behavioral health and community referrals for the purpose of care management and coordination.
Multi-lingual capabilities preferred, but not required
General knowledge or experience of clinical documentation, preferably electronic health records/medical records systems
Two years of experience working with the behavioral health system and/or social services sectors.
Experience providing patient navigation or community health worker services is a plus.
Must have excellent customer service phone skills.
Accurate and fast computer skills.
Experience in customer service, preferably within a mental health related field.

What Makes Us Different?

Here, it’s not just a job – it’s an opportunity to change lives.
Our employees are learners, innovators and original
Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

Healthcare benefits available starting day 1!
Health & wellbeing incentives, such as gym membership reimbursement
401K with company match to help reach your future financial goals
Generous PTO, because we know life happens outside of work
Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate’s data privacy is a top priority. Our recruiting team conducts all communications using official company email Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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