AmerihealthCaritasDC maintains a list of at-risk members who admitted to local emergency rooms for mental health emergencies. The PEES contractor must locate these individuals and assist in conducting a behavioral health screening. This position consists of three main phases: engagement, investigation, and referral/completion. Engagement: The PEES will be assigned members based on criteria determined by AmerihealthCaritasDC. PEES will have access to information about the member through the CRISP and Credible systems, when available. Investigation: PEES will conduct at least three substantial outreach attempts as defined by agency established standards. Additional attempts may be conducted. This includes in person outreach attempts. All outreach attempts will be documented in the member's Credible file. Documentation must be descriptive. Investigation activities are inclusive of the Engagement rate. Referral/Completion: Once the member has been located, PEES documents the member's residence or other location, as well as any other information that will aid in continuing care and follow-up. PEES contacts the licensed clinician to conduct a behavioral health screening. When the assessment is completed and the PEES staff member has completed required documentation in Credible, the contractor is eligible for reimbursement.
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Career Level
Entry Level
Education Level
High school or GED