Post ER Engagement Specialist

Job Description

McClendon Center and AmerihealthCaritasDC have partnered to identify at-risk members within the AmerihealthCaritasDC system. AmerihealthCaritasDC maintains a list of at-risk members who are believed to have behavioral health symptoms that cause them to be frequent users of services, but are not able to be located for appropriate follow-up care. The Post-ER Engagement Specialist (PEES) must locate these individuals, assist in conducting a behavioral health screening, and refer them to care management services at AmerihealthCaritasDC. This position consists of three main phases:

The PEES will be assigned members based on criteria determined by AmerihealthCaritasDC.

PEES will have access to all known information about the member.

PEES will conduct at least five substantial outreach attempts as defined by DBH standards. Additional attempts may be conducted.

All outreach attempts will be documented in the member’s Credible file. Documentation must be descriptive.

Investigation activities are inclusive of the Engagement rate.

Once the member has been located and provided with health service options, PEES documents the member’s residence or other location, as well as any other information that will aid in continuing care and follow-up. The PEES staff member is compensated $90 per located member.

PEES contact the Patient Discharge Coordinator Clinical Supervisor to conduct a behavioral health screening. This may be accomplished in person, via Skype, face time, etc.

Completion is achieved when the AmerihealthCaritasDC ‘s guidelines are met for the member being in active outpatient care.

When all conditions for Referral/Completion have been met, the PEES will be compensated an additional $150.

Qualifications

Must pass a background check and be free of any local or federal sanctions or exclusions. Must maintain client/member confidentiality at all times. Must conduct oneself with appropriate decorum so that the sterling reputation of McClendon Center is upheld at all times. Must operate with high ethical and moral standards, being forthright and honest at all times.

Additional Information

Resumes are reviewed on a rolling basis.This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by job holders within this job. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position.McClendon Center is an equal opportunity employer and does not discriminate on the basis of race, color, national and ethnic origin, sex, marital status, religion, or disability.No phone calls, please. Note: McClendon Center is not accepting resumes or referrals from agencies. If you are a recruiter, search firm, or employment agency, you will not be compensated in any way for your referral of a candidate even if McClendon Center hires the candidate.