Senior Care Advocate - Remote

Primary Responsibilities

• Oversees and assists Supervisor with sub-team workload, runs reports, arranges or provides coverage, and ensures completion of work products within turnaround times for the sub-team and/or the larger Utilization Management team
• Supports team members by offering guidance and assistance with workloads
• Supports implementation and updates of new requirements and current policies, procedures, and processes
• Aids in updating processes and creation of new processes, problem resolution, and Quality Assurance activities as needed
• Participates in interviewing, onboarding, and training of new hires
• Ensures all work products are covered and turnaround times met for the sub team and/or the larger Utilization Management team
• Assists with problem resolution as needed
• Participates in Quality Assurance activities as needed or delegated
• Provides feedback to Manager or Supervisor on opportunities for improvement of the department or operations

Required Qualifications

• Independently Licensed, Master's Degreed Clinician in Psychology, Social Work, Counseling, or Marriage / Family Counseling, a Licensed Ph.D., or an RN with experience in behavioral health
• License must be independent, active, and unrestricted in the State of California
• 2+ years of experience in mental health / behavior health environment
• Intermediate level of computer proficiency (including MS Word, Excel, Outlook, Teams)
• Ability to obtain and maintain access to the County of San Diego's electronic health records
• Prioritizes solid data entry skills
• Proven solid written and verbal communication and customer services skills

Preferred Qualifications

• Experience in a managed care setting
• Experience working in an environment that requires coordination of benefits and utilization of multiple groups and resources for patients
• Experience in telephonic roles
• Dual diagnosis experience in mental health and substance use treatment
• Medi-Cal system experience