This position is responsible for supporting a variety of Behavioral Coaching and Clinical programs. Connecting with members to provide telephonic education, support and resources.

Responsibilities:

Delivers information about and enrolls members in the Behavioral Coaching and Clinical Programs.

Conducts post-discharge after care follow up for our customers for outpatient levels of care.

Outreach customers to advise of appointment availability, in-network provider listings, insurance benefits and community resources. CCs provide information and general encouragement.

Provides exceptional customer service and collaborates effectively with daytime OP BH Licensed Clinicians to ensure proper access and utilization of benefits.

Effective management of Outlook bins, TruCare queues, Program Referral Tool and Providerlink.

Contributes constructively in team meetings and with matrix partners in a manner to enhance relationships and to improve communication and procedures relevant to team functioning.

Performs additional stretch tasks/projects as needed, requested or assigned.

Complies with all Evernorth Behavioral Health policies and Standard Operating Procedures.

Takes initiative for continued professional development.

Ability to be flexible with the amount of change as there will be a significant amount of staff training as new systems, workflows, and projects are rolled out.

Educate and enroll members in Careforth

Qualifications:

Bachelor’s degree required.

Preferred experience in a behavioral health services setting working with mental health and substance use disorders.

Superior problem solving skills and possess excellent judgment.

Requires the ability to prioritize, switch-task, and organize workload independently.

Preferred competency in using a variety of platforms including: CAMS/DG, TruCare, PRT in CCV or the ability to develop these skills very quickly.

Systems-savvy with ability to retain and implement complex procedural workflows.

Ability to work both independently and collaboratively as a team member.

Demonstration of creativity and self-initiative, with ability to work with some autonomy.

Strong passion for speaking to and assisting customers to improve their health, well-being and sense of security.

Operate with a sense of urgency.

Professional demeanor with excellent communication and phone skills.   

  

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 24 - 37 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.