[Hiring] EAP Clinical Case Specialist @Uprise Health

Role Description

EAP Clinical Case Specialist will play a key role in the success and continued growth of Claremont/Uprise Health by providing top-notch clinical skills and customer service. Our Clinical Case Specialists are empowered to conduct a comprehensive clinical assessment and provide solution-focused guidance, advocacy, and support on every call.

This position is required to work Pacific Time Zone Hours from 8 am to 5 pm.

Essential Duties & Responsibilities

• EAP clinical services experience, including clinical call center operations, case management, crisis response, and employer-based programs.
• Assess clinical information provided and apply medical necessity criteria.
• Coordinate behavioral health physician advisor activities as well as consult on cases with medical complications.
• Coordinate discharge planning needs with facility, health services providers, members, and family.
• Provide care coordination with and facilitate referrals to physical health providers, social services, and disability services as needed.
• Record and resolve member and provider inquiries and complaints in accordance with company policies and procedures for first levels of appeals.
• Triage calls from members in crisis and assist to ensure safety and access to appropriate care.
• Handle and triage Employee Assistance Program service calls as needed.
• Maintain accurate and complete documentation in the system.
• Perform administrative tasks and other duties as assigned.

Qualifications

• Master’s degree in behavioral health field required.
• Clinical licensure required (LCSW, LPC, LMSW, or LMFT).
• Ability to work Pacific hours (8 am - 5 pm PST).
• Excellent written and verbal communication skills.
• 3-5 years of experience in a clinical setting preferred.
• EAP and call center experience required.
• Excellent attention to detail.
• Experience using MS Office, SharePoint, and other collaboration tools.
• Ability to work well in a fast-paced, team environment.
• SAP certification required.
• Bi-Lingual Spanish/English is a plus.

Working Environment

While performing the duties of this job, the employee regularly works in a home remote office near office equipment (telephone, computer). Verbal and written communication, telephone usage, filing, sitting, typing, reading, and carrying are required to perform the essential functions of this job.

Compensation

The compensation range is based on the candidate's experience and/or level of education or certifications.

• Uprise Budgeted Pay Range: $100,000 — $100,000 USD.

Equal Opportunity Employer

Uprise Health is an equal opportunity employer. In accordance with anti-discrimination law, Uprise Health prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Uprise Health conforms to the spirit as well as to the letter of all applicable laws and regulations.