Job Description

DescriptionLocation: This position is located at our Dublin, OH campus with hybrid flexibility.Who we areFounded in 1999 and headquartered in Central Ohio, wexe2x80x99re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and wexe2x80x99re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost xe2x80x93 thatxe2x80x99s why we call ourselves Healthcare Warriorsxc2xae.Wexe2x80x99re committed to building diverse and inclusive teams xe2x80x93 more than 2,000 of us and counting xe2x80x93 so if youxe2x80x99re excited about this position, we encourage you to apply xe2x80x93 even if your experience doesnxe2x80x99t match every requirement.About the roleThe Behavioral Health Care Clinician, Post Discharge provides support to members discharging from behavioral health/substance abuse levels of care as indicated per the Health Benefit Plan. Care coordination services are facilitated post discharge to ensure that members have a safe and effective transition to the next level of care.What youxe2x80x99ll do

• Interpret available clinical data to determine appropriateness of post discharge call outreach.
• Conduct post discharge calls to members that have been engaged in recent mental health/substance abuse treatment.
• Utilize and update electronic records as appropriate.
• Assess members for aftercare appointments with providers and/or programs.
• Assist in finding appropriate aftercare providers and/or programs, if applicable.
• Verify network status of providers and programs and re-direct, as needed.
• Assess members for mental health crisis states by utilizing PHQ2 and respond appropriately to ensure wellbeing and safety.
• Assess psychosocial support system. Provide support and resource assistance to memberxe2x80x99s family, caregiver and/or support system as needed.
• Assess crisis/safety and/or relapse prevention plans and provide education or resources when applicable.
• Confirm members have crisis numbers.
• Assist members with navigating barriers to adhering to medication regimens.
• Interpret plan benefits and educate members as needed.
• Research and educate members on condition specific resources with the health plan and in the community for continued support and optimal well- being.
• Provide member education regarding the different levels of care, need for continuation of care, medications and/or additional topics.
• Assess that home is a safe environment and educate or provided resources, as needed.
• Provide advocacy for the member and/or health plan.
• Maintain a working knowledge of all policies and procedures related to Clinical Operations xe2x80x93 Behavioral Health.
• Maintain a working knowledge of employer health benefit plans and where to access the benefit information.
• Maintain success stories which can be shared with clients and promotion of program.
• Educate internal work groups on mental health/substance abuse treatment forms and levels.
• Support internal work groups in locating appropriate treatment providers and programs for members.
• Collaborate with internal clinical staff for transfer or referral of cases for medical management when appropriate.
• All other duties as assigned.

What youxe2x80x99ll bring

• Registered nurse with active license in Ohio or Licensed Social Worker with active license in Ohio
• Minimum of 4 years of experience in a Behavioral Health setting
• Have a working knowledge of nationally accepted Behavioral Health medical necessity criteria
• Ability to make decisions that are timely and effective for achieving results consistent with business goals and organizational culture
• Possess motivational interviewing skills
• Possess excellent interpersonal communication skills
• Ability to speak clearly telephonically.
• Excellent critical thinking skills
• Works independently with minimal supervision
• Possess excellent computer skills including Microsoft applications
• Possess excellent time management skills
• Protect and take care of our company and memberxe2x80x99s data every day by committing to work within our company ethics and policies
• Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
• Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily.

#LI- HW1 #LI HybridWhatxe2x80x99s in it for you

• Compensation: Competitive base and incentive compensation
• Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
• Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.
• Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

What you should know

• Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite.
• Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
• Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, wexe2x80x99re committed to empowering our ERGs, and wexe2x80x99re proud to be an

.

• Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
• Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidatexe2x80x99s unique combination of experience and qualifications related to the position.
• Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
• Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, to submit a recruitment accommodation request.Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe youxe2x80x99ve encountered a recruiting scam, report it to the and .

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