PURPOSE :

The Behavioral Health Intake Specialist is responsible for:

• BH Intake Specialist is responsible for processing authorization requests from customers, providers and facilities.


• BH Intake Specialist is responsible for telephonic outreach to customers regarding BH benefits and services.


• BH Intake Specialist is also responsible for conducting post discharge outreach to customers.


• BH Intake Specialist is required to adhere to Policies and Procedures and all Compliance Rules and Regulations.

REQUIREMENT :

Bachelor's degree in Psychology or related field with at least 2 years' experience in utilization management or case management.

Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation.

Education :

Bachelors in Psychology or Social Work Required, Masters in Psychology or Social Work preferred.

Experience :

Two years' experience in utilization management, behavioral health direct care, or behavioral health case management.

RESPONSIBILITIES AND FUNCTIONS :

• 
  
  
  
  • Monitors daily productivity to ensure all work is completed timely and accurately.
  
  
  • Adheres to call center procedures and ensures adequate coverage of phone queue
  
  
  • Maintain confidentiality and adheres to all HIPAA and PHI regulations.
  
  
  • Completes all assigned and required trainings.
  
  
  • Adheres to all Policies and Procedures to ensure compliance.
  
  
  • Processes all organization determination authorization requests within required time frames and ensures compliant documentation of each request.
  
  
  • Processes all assigned calls within required time frames and ensures compliant documentation of each call processed.
  
  
  • Attends staff meetings and one on one meetings with leadership as scheduled
  
  
  
  
  
  

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.