Health Insurance Operations Director jobs in Helena, MT

About the Role

Discharge Planners help manage client-related communication and coordination with referral sources, such as hospitals, outpatient practices, schools, and governmental organizations. Specifically, they are responsible for some or all of the following: providing treatment updates to referring providers and planning discharge for clients in our care.

1. Treatment updates to referring providers

For clients receiving care at Charlie Health, Discharge Planners may be responsible for providing consistent, high-quality treatment updates to referral sources. They may also help answer questions about their referred clients. A key aspect of this role is building trusting relationships with referral sources – Discharge Planners are expected to communicate professionally and collaboratively to deliver a seamless, supportive experience.

2. Discharge planning

For clients completing treatment at Charlie Health, Discharge Planners may be responsible for developing a discharge plan. The discharge plan is Charlie Health’s opportunity to set the client and family up for success post-program. Discharge Planners ensure that each plan is comprehensive and clinically appropriate. Key activities include identifying appropriate aftercare resources and engaging with clients to facilitate a smooth transition.

Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing live-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to impact thousands of lives in a meaningful way.

Responsibilities

• Ensure a supportive, positive experience for clients and referral sources / external providers
• Work directly with clients, families, and referral sources to understand their needs and preferences
• Make accurate and timely referrals to aftercare resources for clients discharging from Charlie Health
• Use and maintain a nationwide provider database to identify appropriate referral options
• Make referrals using external provider’s preferred communication channels
• Follow-up with clients and/or external providers to verify placement
• Communicates with referral providers about new referrals and ensures that the facility/provider has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information.
• Documents case management contacts in progress notes, communicates with therapists/case managers and treatment team about contact and updates on the status of discharge planning
• Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities
• Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide
• Adhere to stated policies and procedures and achieve performance metrics goals

Requirements

• Bachelor’s degree in health sciences, communications, psychology, social work, or related field
• Minimum of 2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach)
• Strong interpersonal, relationship-building and listening skills
• Metrics- and results-oriented mindset, with experience working against concrete targets
• Excellent written and verbal communication skills 
• Extreme organization and attention to detail
• Work authorized in the United States and native or bilingual English proficiency
• Ability to thrive in a fast-paced environment and learn quickly
• Proficient in Salesforce and Google Suite/MS Office

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

Note to Colorado applicants: applications will be accepted and reviewed on a rolling basis

The expected base pay for this role will be between $47,250 and $79,200 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits.