Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
The Autism Care Navigators provide support for families with children served by the IBX Autism Case Management team. The ACNs are responsible for serving as a single point of contact for families, ensuring accurate and viable referrals for diagnostic, ABA and other care, outreaching member families, screening for behavioral and medical care management needs, assessing for and providing community resources, educating members regarding benefits and authorization process, coordinating with Autism care managers to ensure support positive member experience, other responsibilities as assigned.
ESSENTIAL FUNCTIONS
Provide information to inbound members and providers callers regarding Autism, ABA , and other mental health and substance use disorder benefits, community resources, care management programs and services, policies and procedures
Responsible for making outreach calls to member families to educate them around the Autism Case management program, screen for any care management or referrals, support program document collection, and coordinate with the care managers on member and family care needs,
Collaborate with network providers to identify appropriate referrals for diagnostic, ABA and specialty care
Provide follow up calls to support appropriate information needed for authorization process
Coordinates with lead Autism care managers to address identified member and family care needs including attending rounds and team meetings.
Promote quality service delivery and effective care transitions planning for optimal member health outcomes
Coordinate with Network Operations staff to facilitate access to providers in the Member's area
Facilitate communications including manual letters and faxes to members and providers to support department needs
Promotes quality service delivery and reducing the burden member families face in dealing with a long-term disability
Provides administrative support services to clinical staff and in support of coordinated care and positive care outcomes such as building cases in system to begin Utilization Management process.
Qualifications
Bachelor's degree in Social Work, Psychology or related healthcare field and three (3) or more years of experience in a health care, or managed care setting
Strong computer and keyboarding skills (MS Outlook, MS Word, MS Excel, Adobe Acrobat, and data processing), including the ability to document while simultaneously while taking information over the phone
Excellent written and verbal communication, interpersonal, and organizational skills
Excellent assessment and engagement skills
Basic understanding of diagnostic requirements
Ability to make referrals for testing
Basic understanding of medical comorbidities
Familiar with behavioral health/medical terminology
PREFERRED
Bachelor's degree and five (5) or more years of experience in a health care, managed care setting
Experience working with members with autism or other developmental disabilities and their families
Bilingual (English and Spanish)
KEY ATTRIBUTES
Self-motivated and the ability to assume a collaborative role in ensuring that all objectives are met
Ability to work independently to meet team objectives/goals
Professional demeanor in response to all situations regardless of the nature or circumstances of the situation
Able to manage multiple tasks in a fast-paced, changing environment
Ability to work within a collaborative, team-oriented environment
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.