BHI Intake Navigator

Parkview Health•Fort Wayne, IN

About The Position

Under the direction of the Behavioral Health Central Intake Supervisor, the Behavioral Health Intake Navigator processes intakes for behavioral health services. The role conducts client interviews to obtain accurate demographic, insurance, and medical information, including mental health history, current and past drug use, and past or active suicidal thoughts. The Navigator professionally documents phone encounters in client medical records using a pre-built template, directs clients to appropriate providers based on their needs, insurance, and medical history, and schedules initial assessments. The role also schedules interpreters as needed and researches client records to ensure appropriate assessments are scheduled based on prior services. The Navigator processes internal and external referrals, reviews eligibility based on treatment recommendations, insurance benefits, and geographical coverage, and coordinates service authorizations with payors throughout the patient’s episode of care. Responsibilities include inbound and outbound calls, obtaining mental health assessments and uploading them to Kids Track for DCS review, communicating referral updates to DCS Family Case Managers, and identifying state-determined Levels of Need (LON) and loading the correct Medicaid Rehab Option (MRO) benefit package into EPIC. The Navigator works with clinical staff on LON denials, obtains treatment plans and assessments for MRO benefit updates, uploads them to the Indiana Medicaid website, and completes group home admissions and assessment scheduling. The role serves as the central point of contact for referral sources, care team members, administrative employees, and patients. It is responsible for quality performance and service excellence during phone encounters and for adhering to the Parkview Standards of Behavior.

Requirements

High school graduate or equivalent GED.
Two years of experience in a hospital access or mental health navigation department.
Must pass a DCS background check.
Good verbal and written communication skills.
Ability to work independently.
Competency with Federal and State regulations.

Nice To Haves

Experience in a mental health or substance abuse setting.
Experience with Microsoft suite of products.

Responsibilities

Conduct client interviews and obtain accurate demographic, insurance, and medical information, including mental health history, drug use, and suicidal thoughts.
Document phone encounters professionally in client medical records using a pre-built template.
Navigate clients to appropriate providers based on services needed, insurance, and medical history, and schedule initial assessments.
Schedule interpreters as needed.
Research client medical records to ensure assessments are scheduled appropriately based on past services.
Process referrals from internal and external sources, including PPG, DCS, the court system, Community Corrections, and state hospitals.
Review referrals and determine service eligibility based on treatment recommendations, insurance benefits, and geographical coverage.
Coordinate service authorizations with payors and maintain authorizations during the patient’s episode of care.
Complete inbound and outbound calls to interview clients and schedule initial assessments.
Obtain mental health assessments and upload them to Kids Track for DCS review.
Communicate referral status and updates to DCS Family Case Managers.
Identify state-determined Levels of Need and load the correct Medicaid Rehab Option benefit package into EPIC.
Work with clinical staff on Level of Need denials so assessments can be resubmitted to the state.
Obtain treatment plans and assessments for MRO benefit updates and upload them to the Indiana Medicaid website.
Complete group home admissions identified by group home administrators and schedule initial assessments.
Serve as the central point of contact for referral sources, care team members, administrative employees, and patients.
Provide quality performance and service excellence during each phone encounter and adhere to the Parkview Standards of Behavior.