Behavioral Health Member Advocate

Posted 1ds ago

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Job Description

Behavioral health member advocate supporting Evernorth members and providers seeking mental health and substance use services. Handling intake, benefits, referrals, scheduling, and clinical-team handoffs through inbound calls.

Responsibilities:

  • Take back-to-back phone calls from members and providers, with calls lasting about 8–10 minutes
  • Triage and conduct intake for risk of harm and substance use concerns
  • Communicate eligibility and quote benefits
  • Assist with scheduling appointments and providing referrals
  • Advise on authorization requirements
  • Use resources and independent judgment to provide accurate information, exceptional service, and first-call resolution
  • Collaborate with matrix partners
  • Coordinate seamless handoffs to clinical teams for timely support
  • Navigate multiple systems and applications across multiple screens, sometimes up to nine programs at once

Requirements:

  • Bachelor’s degree in psychology, social work, or a related field, or bachelor’s degree in another field plus 2+ years of behavioral health experience
  • Customer service experience
  • Strong time management and multitasking abilities
  • Proficiency with typing and PC usage
  • Must remain at the workstation while handling calls from a phone queue
  • Must work a structured 8-hour shift between 7:00 AM and 7:00 PM CST
  • Training schedule: Monday–Friday, 8:30 AM–5:00 PM CST
  • For home work, cable broadband or fiber optic internet service with at least 10Mbps download and 5Mbps upload

Benefits:

  • Annual bonus plan eligibility
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Well-being and behavioral health programs
  • 401(k)
  • Company-paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays
  • Leaves of absence
  • Cable broadband or fiber optic internet service requirement for home work (minimum 10Mbps download/5Mbps upload)