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ADT (Admissions, Discharge, and Transfers) Specialist

About the Role:

Under the current approach, treatment of mental health conditions and substance use disorders are limited to what an individual can afford and/or what insurance will pay for. Unfortunately, this narrow-minded approach ignores many of the contributing factors that lead to these conditions and fails to adequately address key elements necessary for sustained recovery. Enter Eleanor Health. At Eleanor, we are rethinking treatment and serve as the only tech-enabled, evidence-based care provider focused on managing the overall health and total cost for individuals with mental health needs & substance use disorder. Instead of entering into a fee for service agreements with payers, we provide whole-person care through value-based partnerships that afford us the flexibility to meet patients (we call them “community members”) where they are and to provide the diverse array of services necessary to help them feel better and achieve long-term recovery.

If you are passionate about helping people live amazing lives, come join us! This is an opportunity to be part of a rapidly growing team that plays a critical role in proving that we can raise the standard of care for mental health and substance use disorder.

Primary Responsibilities:

Interact with potential members and internal care team

Perform initial and ongoing outreach to a prequalified cohort of potential members on a regular cadence with the goal of engaging these members in care at Eleanor Health. The focus will be on ADT and HIGH Impact Score members.

Perform timely virtual outreach to potential members that have been discharged from acute care facilities in an effort to understand their health needs and offer longitudinal, whole-person support at Eleanor.

Utilize motivational interviewing and advanced customer service skills to provide a best in class member experience

Utilize ADT platforms such as Collective Medical, Bamboo Health, and payer specific data sets to document, track, and assign ADT-related outreach.

During outreach efforts you will:

Provide appropriate information, education, and explanation of Eleanor Health services to potential members. This requires a comprehensive understanding of Eleanor Health’s mission, values, and care model and the ability to communicate its value in a clear, compassionate way

Support potential members in expressing their thoughts & feelings and appropriately manage/escalate medical or behavioral health crises that arise.

Work cross-functionally with other team members and internal care teams

Track all interactions with potential members in a centralized platform with high-quality documentation and attention to detail

Be highly trained in explaining the services that Eleanor Health offers and tailoring the approach to best fit the prospective member's needs

Understand how insurance works and be able to effectively verify insurance eligibility and communicate, at a high level, patient cost sharing responsibility. Be able to direct potential members to resources within Eleanor Health for more specific information

Answer incoming calls through our outreach phone line via Salesforce, and direct calls as needed.

Maintain a current understanding for population health contracts and scripting as well as scheduling protocols for attributed members

Once a potential member enrolls in care at Eleanor, collaborate with clinic & care team members to facilitate an excellent pre-visit experience, supporting with pre-visit paperwork, and ensuring all questions are answered.

Qualifications:

2-3 years of experience with post-acute outreach preferred

Experience working with Salesforce and Athena or other EMR preferred

Strong interpersonal and written communication skills, active listening abilities, and motivational interviewing skills

Be highly motivated and self-directed with the ability to multitask between phone calls, documentation, and collaboration with other team members

Availability for Mountain and Pacific Time shifts preferred, or open availability for second shift (9-6 pm PST/12-8 pm EST)

Enjoy working in a fun, fast-paced, team-centered environment

What We Can Offer You:

The chance to be part of an open-minded, diverse, and super cool team of passionate people

Awesome medical benefits that include four options for all full-time employees, from an 100% employer paid high deductible plan to a low deductible EPO plan. A la carte dental and vision benefits are offered, too!

Flexible paid time off that includes 80 Hours of PTO accrued monthly, up to 10 wellness days granted to you upfront, and 12 paid holidays (three of which are floating holidays to use for whatever is important to you)

Great pay that consists of a competitive hourly rate as well as development opportunities.

Flexible work schedule!

About Eleanor Health

Eleanor Health is the first outpatient addiction and mental health provider delivering convenient and comprehensive care through a value-based payment structure. Committed to health and wellbeing without judgment, Eleanor Health is focused on delivering whole-person, comprehensive care to transform the quality, delivery, and accessibility of care for people affected by addiction.

To date, Eleanor Health operates multiple clinics and a fully virtual model statewide across Louisiana, Massachusetts, New Jersey, North Carolina, Ohio, and Washington, delivering care through population and value-based partnerships with national and regional payors, employers, and other stakeholders.

If you are passionate about providing high quality, evidence based care for individuals with substance use disorder through an innovative practice, and about building a great business that makes a difference, Eleanor Health is an ideal opportunity for you. We seek highly skilled, motivated and compassionate individuals who take responsibility and adapt quickly to change to join our deeply committed and collaborative team.

Job Type: Full time

Job Type
Full Time
Salary
N/A
Experience
N/A
Posted
69 days ago

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