ESI -Client Services Manager Job Listing at Medical Mutual in OH (Job ID 2500094)

Description

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Supervises day-to-day department operations and staff in client services including selection, coaching and performance appraisals. Monitors and ensures quality assurance, and procedural compliance, in order to provide the best possible outcomes for Members and Accounts. Participates in developing and implementing new strategies and procedures for process improvement.

Responsibilities

• Supervises day to day department operations and  functions of Counselors and support staff. Prioritizes and assigns accounts and provides coaching and support on case consults and reviews.
• Ensures clinical determinations are in adherence with Company risk policy and in the member and Company's best interest.
• Ensures that counselors maintain clinical competencies that enable them to effectively achieve case management outcomes.
• Monitors and evaluates the effectiveness of policy and procedure and recommends and/or implements changes as needed.
• Coordinates, and as needed, consults with Human Resources and supervisory personnel from client companies regarding employee issues and concerns including service issues.

Qualifications

Education and Experience:

• Master's degree in behavioral health field (social work, psychology, counseling, or related field).
• 7 years progressive experience as an Employee Assistance Program (EAP) Counselor or equivalent behavioral health clinical experience.
• Relevant supervisory or management experience preferred.

Professional Certification(s)

• Licensed Mental Health Clinician (or other industry recognized licenses: psychology, social work, etc.)
• Active, current, and unrestricted license in the state employed is preferred (unless required to practice in state employed). 

Technical Skills and Knowledge

• Assessment, triage, in the moment support, research and case management skills.
• Strong knowledge of behavioral health conditions, levels of care, and discharge planning.
• Knowledge of, and the ability to apply fundamental concepts related to Health Insurance Portability and Accountability Act (HIPAA) and Protected Health Information (PHI) compliance and procedures.
• Ability to supervise and coach staff.
• Intermediate proficiency using Windows-based programs and applications, including Microsoft Office skills.
• Strong verbal, written and interpersonal communication skills.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing. #LI-JT1