Referral & Outreach Specialist - Jackson, MS

Canopy Children's Solutions•Jackson, MS

About The Position

The Referral and Outreach Specialist serves as Canopy Children’s Solutions’ liaison to families, community partners, and referral sources. The role provides administrative, clerical, and clinical support to Intensive In-Home Solutions clinical and wraparound teams and helps families navigate and obtain services. The specialist coordinates intakes, referrals, initial screening and assessments, prior authorizations, and admissions with regional teams and the admissions department. The position also supports regional census goals by triaging and following up on referrals, increasing organizational awareness through marketing and outreach, conducting internal audits, and managing quality-assurance compliance timeframes. Travel is required within the assigned region.

Requirements

Bachelor’s degree in a behavioral health field.
Able to communicate in a therapeutic and professional manner.
Computer skills.
At least 21 years of age.
Valid Mississippi driver’s license and good driving record.
Proof of legally appropriate auto liability insurance.
Willingness to use a personal vehicle for organization business.

Nice To Haves

Two years of experience working with emotionally and/or behaviorally disturbed youth.
One year of experience working in a behavioral health care setting.

Responsibilities

Screen callers initially to determine whether their needs are appropriate for requested treatment and level of care.
Provide referral services through linkage and outreach when requested solutions criteria are not met.
Guide referral sources, parents, and community partners through the organization’s referral and intake process according to medical-necessity criteria.
Manage incoming calls related to treatment and care requests.
Help families complete intakes by gathering and preparing required preadmission clinical documents.
Collect, compile, and prepare clinical documentation and treatment history needed to determine eligibility and submit treatment-authorization requests for admission.
Communicate referral status updates to referral sources and families throughout the preadmission process according to program timeframes.
Schedule and conduct referral staffing for admission and facilitate discussions about care or treatment needs and current status.
Submit completed preadmission prior-authorization packets to the Admissions Coordinator for processing with the designated payer.
Coordinate and schedule admissions and initial psychiatric evaluations for new admissions.
Monitor Medicaid eligibility for active referrals and triage as needed based on eligibility-verification findings.
Work with Utilization Management staff to monitor and coordinate Medicaid eligibility for active cases and coordinate any actions families need to take to maintain coverage.
Assist with quality-assurance activities as designated and assigned.
Prepare for applicable on-site compliance reviews with the Division of Medicaid, Managed Care Organizations, and Department of Mental Health.
Attend or facilitate weekly staff meetings as required and requested.
Understand and implement emergency procedures as applicable.
Demonstrate sensitivity and responsiveness to cultural differences in the organization’s service population.
Provide coverage for admissions staff duties as assigned and requested.
Follow the work schedule set by the Director of Admissions and/or Leadership.
Promote Canopy Children’s Solutions to the public and promote the organization’s mission and values.
Use and accept supervision appropriately.
Provide transportation when necessary.
Complete scheduled organizational training and in-services for compliance and meet all key performance indicators.
Travel as required to fulfill job-related duties and perform other related duties as assigned.
Prepare and complete program reports as assigned and requested.
Track service authorizations through reports and coordinate with utilization management staff on prior-authorization requests for continued stays or concurrent reviews.
Use service reports to monitor documentation and ensure requirements are met.
Use established reports to monitor compliance with referral-to-admission standards.