This team receives the majority of calls coming into the agency (approximately 13,000/month). Access to Care Specialists are responsible for scheduling, creating charts in the EHR, collecting relevant information, loading insurances, transferring calls
to other providers within the agency, and maintaining a wealth of knowledge of all clinical programming within the agency. This team has four care navigators who help manage community referrals for services as well as client engagement activities such
as sending out engagement letters, communication with community partners, and initial engagement calls with clients to start the intake/assessment process from the first call.
Salary: $$18 - $21 an hour
Goals and Objectives:
Meet productivity standards for the job role
Co-manage an active caseload of clients requiring both clinical and non-clinical interventions
Provide care coordination services to effectively manage the physical and behavioral health care of clients with complex needs
Communicate and collaborate with colleagues, care providers and community resources to seamlessly integrate complex services
Promote a positive culture of collaboration within AllHealth Network
Duties and Responsibilities:
Work closely and collaborate within a team-based model to ensure integrated delivery of care coordination and case management services.
Motivate clients to participate in the program by establishing a therapeutic relationship.
Assist with care coordination tasks such as appointments and/or transportation, patient education and assistance with navigating physical and behavioral health systems, and facilitating communication with providers and other care team members.
Conduct telephonic and face-to-face outreach and engagement to activate clients to be more involved in managing their health.
Travel to outreach locations to meet with clients/families, coordinate services, and attend regular staff and management meetings.
Act as a client advocate and liaison between internal and external providers and community resources to seamlessly integrate complex services. May include client family and/or other support systems, Human Services, parole/probation, primary care providers and others as appropriate.
Co-manage a client caseload with a case manager for those clients identified as having complex needs requiring both clinical and non-clinical interventions and support.
Maintain a small caseload of clients requiring non-clinical interventions and continued support in order to gain optimal functioning and sustain improvements in health management.
Make referrals to community based organizations and resources that are consistent with the identified needs in the plan of care and/or by the client.
Assist with the coordination of case conferencing, meetings or other related tasks to facilitate interdisciplinary collaboration.
Perform administrative support for programs including but not limited to: insurance verification, medical record/chart review, data entry of patient information, review and assignment of cases to clinical staff, triaging phone calls, and directing calls appropriately.
Positively contribute to the financial health of the organization by ensuring delivery of billable services and utilizing, monitoring and collecting data for decision making and program improvements.
Participate and contribute to departmental meetings, team huddles, rounds, supervision and other meetings, as needed, to ensure cohesive department operations.
Enhance professional growth and development through participation in specialized training and other informal learning experiences.
Follow all AllHealth Network policies and procedures.
Complete all required trainings as listed in Relias Learning within required timelines.
Perform other duties as required within the scope of the position and the experience, education and ability of the employee. May include but not limited to services that promote mind-body recovery and resiliency, population health, medication management, educational groups, mentoring and coaching, and navigation of systems to promote improved health.
Key Technical Skills and Knowledge:
Bachelors degree in a health/behavioral health related area of focus such as social work, psychology, sociology; OR
High school diploma/GED certification with Peer Specialist training, certification preferred.
Minimum of one year of experience in a healthcare related field such as a hospital, home health provider, community-based agency and customer service experience.
May require additional specialized experience and/or knowledge depending on program needs and focus (i.e., housing, vocational rehabilitation, recovery, working with special populations, etc.)
Knowledge of behavioral health terminology, understanding of care coordination and case management related service functions (ie: outreach and engagement, community resources, discharge planning, referrals, insurance/payer).
Ability to operate PC-based software programs including proficiency in Word, Excel and PowerPoint and other computer based systems.
Possess excellent customer service skills, strong organization skills, flexibility in responding to multiple demands, able to complete routine work with minimal direction from supervisor.
Communicate effectively in written and oral communication with health care team, clients and families, and community providers.