Health Related Social Needs Program - Enrollment and Care Coordination Specialist

Open Sky Community Services • Worcester, MA

18d • $26

About The Position

The Health Related Social Needs (HRSN) Program works in collaboration with MassHealth to address the immediate daily necessities that arise from the inequities caused by the social determinants of health, such as lack of access to basic resources including stable housing, a toxin-free environment, healthy food, heating and Internet access, transportation, healthcare, safety, education, employment, and social connection.
The Enrollment and Care Coordination Specialist will screen indivdiuals for CSP-HI, housing, nutrition program, navigation and transitional goods eligibility and will complete enrollment for individuals in the program including orientation to services, service agreements, consents, and data entry into the electronic health record software for each member. They also provide training, monitoring, feedback and corrective action to housing specialists and assign and track housing specialists caseloads in collaboartion with the team lead, as needed.

Requirements

• High School Diploma, GED or equivalent, required.
• Minimum of two years’ experience with housing and behavioral health population, required.
• Valid driver’s license and acceptable driving history, required.
• Must be able to collaborate with a multi-disciplinary team, possess excellent written and verbal communication skills with attention to detail, required.
• Experience with electronic health records, billing and/or referral management are strongly preferred.

Responsibilities

• Outreach to community providers to develop relationships and develop referral pathways.
• Verify insurance prior to enrollment and monitor insurance eligibility for each member.
• Obtain authorizations from the insurance provider for each member. Track the authorization expiration and obtain new authorizations.
• Participate in live review meetings with insurance company representatives for each member.

Benefits

• Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities
• Generous paid time off plan – you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)
• We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.
• Medical, Dental and Vision Insurance with Prescription Plan
• 403b Retirement Plan with Employer Match
• Life Insurance (100% Employer-Paid)
• Eligible employer for the Public Student Loan Forgiveness Program
• And more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees