Immediately Require Behavioral Health 24/7 Clinical Navigation & Support Care Manager - Evernorth Health Services- Work at Home in Bloomfield, CT
Job title: Behavioral Health 24/7 Clinical Navigation & Support Care Manager - Evernorth Health Services- Work at Home
Company: Cigna
Job description: These are exciting times, and this team was created out of the need to shift from a transactional engagement with our customers to a service excellence experience. We have combined 24/7 Crisis, Triage & After Hour team with EAP Telephonic team and now Confide clinicians have join the team. You will have the opportunity, in this role , to influence and help shape a culture that provides a personal navigation experience that is seamless, efficient and heartfelt. As a 24/7 Clinical Navigation & Support Care Manager you will meet the customer where they are, as each clinical situation is unique and will require a flexible approach regarding the individual, circumstances or product.
Our goal is to help customers navigate the mental health system, utilize their benefits and access the right care at the right time. Whether it is the white glove concierge service approach of Confide, an EAP telephonic consultation, risk assessment during a crisis or a need for navigation services, we will welcome the customer and seek to deliver a guided, predictable and streamlined care experience for customers. We will address in the moment needs of the customer, provide solution focused interventions, a plan of action, referral to resources and follow-up calls as long as needed.
The successful candidate will have demonstrated clinical excellence with mental health, substance use disorders, crisis call work, case management and solution focused therapy with a passion to deliver a service experience that exceeds the customer or provider's expectation. The team works in a fast-paced environment, on a queue, taking telephonic calls in the moment, as well as scheduled calendar appointments. The team is staffed 24/7 in support of the full organization.
The CM performs some or all of the following functions:
- Clinical case assessment of needs and crisis risk assessment
- Employee Assistance Consultation (EAC) for employer
- Employee Assistance Telephonic Consultation for employees and members of household
- Behavioral Telephonic Consultation
- Confide Services assessment
- Brief Case Management
- Assess the customer's immediate risk and need, and provide clinically appropriate referrals for care and treatment
- De-escalate and safety planning
- Use clinical expertise, professional judgment and best practice
- Determine the biopsychosocial need(s) of the customer
- Provides customers with solutions and next steps
- Assist customers with navigating access to care
- Perform research for community and educational resources to assist customers in their journey when needed or refer to Community Support Program
- Educate customers about their benefit plan coverage, how to access coverage via digital application and platforms
- Partner with peers and leaders promoting and embracing a culture of change; supporting all parties through the change process
- Demonstrate the ability to be agile and flexible in their work process.
- Deliver excellent clinical judgment and interpersonal communication skills
- Exemplify diplomacy with customers and providers who may not be receptive to the information shared
- Understand confidentiality and privacy regulations
- Demonstrate excellent verbal and written communication
- Requires a Master's degree or PhD in a mental health field with a current independent licensure in the state of employment (LPC, LMHC, LCSW, LMFT, Psych RN or LP).
- 5 plus years post licensure and experience as a mental health and/or substance use clinician with demonstrated understanding of multiple therapeutic modalities, including brief therapy and managed care experience preferred.
- Knowledge and experience with Employee Assistance Programs (EAP).
- CEAP certification optional.
- Knowledge and experience with the application of ASAM®, MCG ®, and LOCUS/CALOCUS ® criteria preferred.
- Spanish speaking preferred
- Proficient with multiple software and system applications.
- Demonstrated ability to set priorities including, but not limited to time management and organizational skills
- Passion for integrated health care approach to improve physical and emotional functioning.