Referral & Outreach Specialist - Jackson, MS

Canopy Careers•Jackson, MS

11h•Onsite

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 needed services. The specialist coordinates intakes, referrals, initial screenings and assessments, prior authorizations, and admissions with regional teams and the admissions department. The role also supports regional census goals by triaging and conducting outreach to increase referrals, promoting organizational awareness through marketing and outreach, conducting internal audits, and managing quality-assurance compliance timeframes. Travel is required within the assigned region. The specialist screens callers, guides families and referral partners through the intake process, gathers and prepares clinical documentation, coordinates referral staffing and admissions, and monitors Medicaid eligibility and authorization-related requirements. The position also supports quality assurance and compliance reviews, prepares reports, attends staff meetings and trainings, follows emergency procedures, promotes the organization’s mission and values, and provides transportation when necessary. Other related duties may be assigned.

Requirements

Bachelor’s degree in a behavioral health field.
Ability to communicate in a therapeutic and professional manner.
Computer skills.
Must be 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 organizational 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 to determine whether their needs are appropriate for requested treatment and level of care.
Provide referral services and connect callers with other resources when requested services do not meet criteria.
Guide referral sources, parents, and community partners through the referral and intake process and medical-necessity criteria.
Manage incoming calls related to treatment and care requests.
Assist families with intakes by gathering and preparing required preadmission clinical documents.
Compile clinical documentation and treatment history needed to determine eligibility and request treatment authorization.
Communicate referral status updates to referral sources and families within program timeframes.
Schedule and conduct referral staffing for admission and facilitate discussions about care needs and current status.
Submit completed preadmission prior-authorization packets to the Admissions Coordinator for payer processing.
Coordinate and schedule admissions and initial psychiatric evaluations for new admissions.
Monitor Medicaid eligibility for active referrals and triage as appropriate.
Coordinate with Utilization Management staff and relevant team members on Medicaid eligibility and actions families need to maintain coverage.
Assist with assigned quality-assurance activities and prepare for applicable on-site compliance reviews.
Attend or facilitate weekly staff meetings as required or requested.
Know and implement emergency procedures as applicable.
Respond sensitively to cultural differences in the organization’s service population.
Provide assigned admissions-staff coverage to help accomplish work goals.
Follow the work schedule set by the Director of Admissions and/or leadership.
Promote Canopy Children’s Solutions, its mission, and its values to the public.
Use and accept supervision appropriately.
Provide transportation when necessary.
Complete required organizational training and in-services and meet key performance indicators.
Travel as required to fulfill job duties.
Prepare and complete assigned program reports.
Monitor and track service authorizations and coordinate prior-authorization requests for continued stays or concurrent reviews with utilization management staff.
Use service reports to monitor documentation and ensure requirements are met.
Use established reports to monitor compliance with referral-to-admission standards.
Perform other related duties as assigned.