Position Summary:
Manage the behavioral health benefit for eligible children and young adults receiving Medicaid services in Ohio. The CMA will regularly interface with various groups around the state who are providing care coordination services or supporting the services that are utilized by our membership. This can include but are not limited to, care coordinators, managers, community members, referral sources, children services, children/young adults, guardians, family members, case managers, behavioral health providers, etc.
This role serves as the “Front desk” to the plan, administrative, and operational support partner to the Care Coordination department. This individual will work on a variety of administrative tasks to assist the Care Coordination department that may include but are not limited to, the inbound care management queue line, responding to questions and inquiries from both members/guardians or parties assisting with services. They will be responsible for taking referrals, confirming their Medicaid eligibility and processing the referral. This role will also complete Health Risk Assessments for all members assigned. It is imperative that the CMA must be able to practice a high level of professionalism, adaptability, accountability, and emotional intelligence at all times when interacting with various departments or member representatives. Candidates must be able to effectively manage competing priorities, maintain accuracy in a fast-paced environment, and adapt quickly as operational needs and program priorities evolve. The CMA will also support administrative needs that involve comfortability with working in complex data systems, an Electronic Record System and/or Excel at any given time. Tasks can change with little notice to meet the demands of the health plan requiring flexibility.
Experience:
Minimum 1 year of relevant experience. Experience with high call volumes.
Education:
HS Diploma, GED or equivalent.