EAP Clinical Case Specialist

Location: Remote

Department: Clinical

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 system.
• Perform administrative tasks and other duties as assigned

Essential Education & Experience

• Master’s degree in behavioral health field required
• Clinical licensure required (LCSW, LPC, LMSW, or LMFT)
• Ability to work pacific hours (8am -5pm 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
• Excellent written and verbal communication skills
• Experience using MS Office, SharePoint, and other collaboration tools.
• Ability to work well in a fast-paced, team environment
• SAP certification preferred
• 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.