Description

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Blue Cross and Blue Shield of Minnesota

Position Title: Behavioral Health Care Advisor - Substance Use Disorders
Location: Remote
Career Area: Health Services


About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

The Behavioral Health Care Advisor with a concentration in Substance Use Disorders is a critical component of the BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical approaches that will serve and support members from

communities. The Behavioral Health Care Advisor role will help members discover their strengths and develop unique recovery goals. These services aim to assist individuals experiencing acute mental health challenges by providing culturally sensitive support.

Your Responsibilities

• Receives referral and/or reaches-out to member and leverages clinical knowledge, motivational interviewing and behavioral modification techniques.
• Conducts comprehensive clinical assessments; gathers, analyzes, synthesizes and prioritizes member needs and opportunities.
• Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive clinical results and promotes high-quality effective outcomes.
• Serves as a member advocate by identifying underlying needs and facilitates referrals to external resources and services in the health care system, as appropriate.
• Independently assesses member's needs, gathers accurate and comprehensive member information, and research resources and assistance programs that may be available to members in multiple states and across all lines of business. Match these resources as appropriate to support needs of members.
• Identify resource gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as appropriate.
• Monitors and evaluates plan of care over time.
• Ensures member data is documented according to BCBSMN application protocol and regulatory standards. Maintains a strict standard of confidentiality to ensure that our members protected health information (PHI) is secure.
• Engage providers telephonically in reviewing and understanding treatment plans, including alignment with benefits and medical reimbursement policies to facilitate optimal treatment plans, care coordination, and transition of care between settings.
• Attend community events to engage with members.

Required Skills and Experience

• Registered nurse with current MN license and with no restrictions or Behavioral Health Professional that is Clinician licensed for independent practice with one or more of the following licenses with no restrictions: Licensed Marriage and Family Practice (LMFT), Licensed Independent Clinical Social Worker (LICSW), Licensed Psychologist (LP), Licensed Professional Clinical Counselor (LPCC).

• 1 year of county and/or hospital experience.
• Medicaid/Medicare and/or Public Programs experience.
• Knowledge and understanding of the experiences and need(s) of marginalized communities.
• Demonstrates strong empathy and relationship building skills.
• Strong acumen in communication skills including listening, speaking and writing skills.
• Strong computer application skills.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Medical/ Behavioral Health call center or managed care experience.
• Active, unrestricted Licensed Alcohol and Drug Counselor (LADC) licensure
• Process and project management experience.
• 1+ years of managed care experience, e.g. case management/health coach, utilization management and/or auditing experience.

Compensation and Benefits:

Pay Range: $68,900.00 - $91,300.00 - $113,700.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Remote

Teleworker

Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.
Equal Employment Opportunity Statement

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

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