Health Underwriting Manager jobs in Wyoming

POSITION SUMMARY:   Functions as a core member of an integrated behavioral health team that may involve the patient’s primary care provider in a clinic and/or school-based setting while adhering to all applicable state and federal confidentiality requirements. Works under the direction of licensed behavioral health and/or medical providers, is responsible for coordinating referrals, and supporting behavioral health services as outlined in the patient’s treatment plan. One Health has adopted the SAMHSA definition of the term behavioral health as “the promotion of mental health, resilience and well-being; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities.”

About One Health: 

With multiple clinic sites across Montana and Wyoming, One Health provides medical, dental, pharmacy, behavioral health, and community and public health services to rural populations through an integrated approach to health care.

One Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Benefits:  We offer a competitive compensation package that includes health, dental, and vision insurance; employee medical discounts; long-term disability insurance; life insurance, health savings account; matching retirement plan; 9 paid holidays; and supplemental benefits available through Aflac. Benefits are available to employees scheduled 20 hours or more per week. All employees receive paid time off.

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

1. Supports and coordinates behavioral health services with the patient’s integrated care team.
2. Assists the integrated care team in collecting information, documentation and/or screeners to be used to determine the patient’s behavioral health needs.
3. Engages with patients during warm hand-offs to offer support, education about integrated care, resources, and behavioral health intake processes. Assists with scheduling for initial and follow-up visits.
4. Assists patients to access services using approved multi-media platforms.
5. Facilitates patient engagement and follow-up care.
6. Tracks patient follow-up and clinical outcomes.
7. Documents encounters in the EHR per One Health Policy, Procedures, and Guidelines.
8. Facilitates referrals for clinically indicated services specified on the patient’s treatment plan.
9. Participates in all meetings as determined by supervisor.
10. Participates in training, reporting, and other requirements of various contracts and grant supported programs implemented by One Healt
11. Adheres to all One Health Policies and Procedures.
12. Participates in performance optimization and risk management activities as required.
13. Cooperates and abides by all elements of One Health’s Compliance Program.
14. Exemplifies a patient-centered care approach to each patient along each stage of the patient journey, while working as a key patient centered team member by communicating individual patient care needs to support the needs of patients served.
15. Provides exceptional customer service and models the mission of One Health when interacting with internal and external stakeholders promoting a positive image for the health center.
16. Performs other duties as assigned or required with or without prior notification.

MINIMUM JOB QUALIFICATIONS:

Education/Certificates/Licenses:

Required

▪   BLS Certification upon hire

▪   High school diploma or equivalent

▪   Valid driver’s license

Preferred

• Bachelor’s or Associate’s degree in a related field, mental health aide, behavioral health aide, medical assistant, licensed practical nurse, or nursing assistant

Experience:

Required

• Experience in a medical clinic or mental health setting; or
• Any combination of experience and training which provides the equivalent scope of knowledge, skills, and abilities necessary to perform the work; including the ability to communicate effectively with others, and work under the direction of a licensed behavioral health and/or medical provider

Preferred

• Screening for common behavioral health conditions
• Knowledge of assessment and treatment planning

Competencies:

• Communication proficiency, including interviewing skills
• Consultation
• Critical evaluation
• Patient Centered
• Discretion
• Interpersonal skills
• Personal accountability/credibility
• Problem solving/analysis
• Relationship management
• Stress management/composure
• Teamwork

WORKING CONDITIONS AND ENVIRONMENT:

The working conditions and environments described here are representative of those an employee encounters while performing the basic functions of this job.  An employee may be exposed to other working conditions and/or environments which are not listed.

• Work indoors in heat-controlled environment 95% of the time.
• Moderate noise level consistent with an office environment.
• Typically, 40-hour workweek.
• Periodic travel to other One Health sites and within Montana and Wyoming as well as regional and national meetings.