Behavioral Health Member Advocate (Non-Clinical) - Bath Iron Works
The onsite Personal Advocate position is responsible for assisting Bath Iron Works employees and their families in navigating clinical and non-clinical benefits related to behavioral health.
The Advocate tasks are varied and often complex, requiring flexibility and multi-tasking capabilities.
The Advocate creates a one-stop experience catered to the coordination of care for
behavioral health services and has the resources to connect an employee to other areas of Cigna/Evernorth, including medical and pharmacy.
The Advocate may need to assess for crisis as needed during interactions and is trained to connect to licensed clinicians.
This in-person position is expected to interact in a warm and empathetic manner utilizing problem-solving skills.
The Advocate utilizes customer service skills, knowledge of the mental health/substance abuse field, and on-the-job training to effectively address employees' needs in an educational manner.
This position is expected to work closely with the onsite BIW Benefits, Fit for Life Wellbeing Program, and the Medical Department.
Responsibilities:
The primary responsibility of the Advocate role is working directly with Bath Iron Works employees with the goal of first interaction resolution.
The majority of the day will be connecting with employees and other staff to access, understand, and/or utilize EAP/behavioral services.
* Conduct an intake to assess and triage
* Educate employees on their benefits based on plan design and other clinical or nonclinical resources/benefits available
* Refer to additional case management or clinical teams as needed
* Provide employees with names and contact information for in-person/virtual providers using personalized search preferences
* Find the soonest available in-person/virtual appointment, with a customized search
* Provide mental health resource support for onsite employees
* Receive training in diversity and inclusion efforts
* Initiate consultation services for employees as well as manager support for employee referrals
As needed the advocate may also:
* Write authorizations to ensure claims are paid correctly
* Provide follow-up interactions with employees if additional action is required
* Send eligibility requests to determine effective coverage dates or to verify benefits
* Assist in complaint resolution
* Assist with EAP education in new hire orientations
* Develop and deliver onsite EAP seminars and trainings
* Participate in an EAP Committee
During all interactions, an advocate is expected to demonstrate:
* Independent problem-solving skills to make sound decisions in assessing the needs of the employee by giving accurate information and providing first-interaction resolution
* Understanding the business needs of BIW, while balancing the needs of the employee
* Educational approach to ensure employees can understand the complexities of accessing care
* Maintain p...
- Rate: Not Specified
- Location: Bath, US-ME
- Type: Permanent
- Industry: Finance
- Recruiter: Cigna
- Contact: Recruiter Name
- Email: to view click here
- Reference: 24015785
- Posted: 2024-11-21 08:39:23 -
- View all Jobs from Cigna
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