Key Responsibilities:
- Intake & Triage: Monitor incoming case queues, ensuring referrals are processed promptly and assigned to appropriate clinical case managers, affiliates, etc.
- Case Coordination: Assist internal clinical case managers and affiliates with case file management, supporting affiliates with technical issues related to dedicated affiliate portal, data entry, and tracking authorisation periods, invoices, etc.
- Crisis Protocol: Act as a first point of administrative contact during high-volume periods, escalating urgent or high-risk cases to clinical case managers immediately.
- Documentation: Ensure all clinical documentation is uploaded to the relevant systems accurately and within required timeframes.
- Mentorship & Training: Train and guide existing clinical administrative staff and serve as a mentor for junior administrators.
- Workflow Oversight: Act as the administrative lead by monitoring the department & overall case queues and workload to ensure the team is meeting SLAs and reallocating resources during high-volume surges.
- Quality Audits: Conduct weekly spot-checks of case files created by intake and Connected Calendar affiliates and to ensure data integrity, proper coding, and documentation compliance. Keeping affiliate scorecards up-to-date and ready for KPI feedback.
- CISM Coordination: Lead the logistical coordination of Critical Incident Stress Management (CISM) responses for large-scale onsite trauma events (e.g., arranging travel and briefing materials for counsellors deploying to onsite customer locations), working with the Clinical Lead.
- Network Gap Analysis: Proactively identify gaps in the provider network (e.g., lack of child psychologists in a specific country; lack of additional legal providers in specific country, etc) and work with the Provider Network Developer.
- Monitoring and Reports: Generate weekly and monthly reports on key performance indicators (KPIs) such as affiliate scorecards, call answer rates, and case turnaround times.
- Billing Support: Reconcile provider invoices against authorised sessions and resolve billing discrepancies in collaboration with the clinical case mana finance team. This will cover invoicing for service provision across EAP
- Process Improvement: Identify bottlenecks in the case management workflow and suggest administrative solutions to improve efficiency and the client/affiliate experience.
- Data Corrections: Pull regular data corrections for the internal/external team to review and fix
- Technical/IT ticket support: Keeping track of system updates that may require troubleshooting with affiliates and the case management team, attending monthly technical support meetings
- Compliance: Strictly adhere to GDPR regulations and confidentiality standards regarding Protected Health Information (PHI) in all communications and record-keeping.
- Audit Prep: Assist the Clinical Lead in preparing files and data for internal and external audits.
Requirements:
- Bachelor’s degree in healthcare administration, Psychology, Social Work, or a related field (or equivalent work experience).
- 2+ years of administrative experience in a healthcare, mental health, or insurance setting.
- Specific experience within an EAP or behavioural health managed care organisation is highly preferred.
- Excellent fluency in English; with Arabic, Hindi, Urdu being beneficial.
- Proficiency in Case Management systems (e.g., Salesforce, or similar CRMs).
- Strong command of Google Suite (Sheets, Forms, Slides) and Microsoft Office Suite (Excel, Word, Outlook, PowerPoint).
- Familiarity and comfort with basic clinical terminology.
Skillset:
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Proficiency in Case Management systems (e.g., Salesforce, or similar CRMs).
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Strong command of Google Suite (Sheets, Forms, Slides) and Microsoft Office Suite (Excel, Word, Outlook, PowerPoint).
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Familiarity and comfort with basic clinical terminology.
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Comfort with using AI tools efficiently and ethically.
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Empathy & Professionalism: Ability to handle sensitive situations with compassion while maintaining strong professional boundaries with both internal staff and external teams and affiliates.
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Detail-Oriented: Exceptional accuracy in data entry and record-keeping.
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Prioritisation: Ability to manage multiple competing priorities in a methodical way.
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Communication: Strong verbal and written communication skills for interacting with affiliates, clients, and internal stakeholders. This includes working with a global team.
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Emotional maturity and regulation: Given the nature of the work, it is beneficial to have someone who is able to emotionally regulate, has the ability to prioritise their self-care alongside meeting work requirements and having the communication skills to reach out when they may need additional support.
Technical Skills
Soft Skills
About you:
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Computer literacy & ability to type fast
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Ability to effectively merge Clinical and EAP focus
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Client service orientation
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Good understanding and ability to manage escalations, such as complaints and risk
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Maintaining and enhancing the overall customer and affiliate experience
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Good time management ability
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Strong administrative skills with the ability to articulate well
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Ability to work collaboratively
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Ability to work well under pressure
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Business and commercial awareness
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Approachable for affiliates and team members who need assistance and support