Job Description:
The Enrollment and Care Manager will be responsible for screening all referrals, admissions, and discharges for the ED Diversion Mobile Respite Program across the three service areas. They will remain the point person for the program funder, the Department of Mental Health (DMH), and will be responsible for ensuring all referrals and relevant information are shared with the appropriate area sites. The Enrollment and Care Manager will maintain a case load of individuals served through the program as well as provide supervision to the ED Diversion Navigators.
RESPONSIBILITIES:
· Review referral documentation submitted through shared email from referral sources to determine appropriateness and eligibility for services.
· Ensure referral and supporting documentation is sent to the appropriate funder site office and that individual’s chart is created within electronic health record.
· Ensure all referral documentation is uploaded immediately into electronic health record.
· Assign individuals served to appropriate Navigator and ensure outreach begins on enrollment date.
· Track all individuals’ enrollment dates and planned discharge dates, ensure that extensions are requested at appropriate intervals with appropriate site offices.
· Participation in program development, process improvement and operational planning
· Participation in preparation of data for bi-annually contract monitoring meetings with funder.
· Review all service notes completed by Navigators and provide supervisory sign-off.
· Review all weekly updates provided by Navigators to appropriate site offices, for assigned area the Enrollment and Care Manager is responsible for providing weekly updates to funder.
· Act as a liaison for all area site offices regarding enrollments, discharges, extensions, and other necessary communication.
· Review and submit all internal and Critical Incident Reports within prescribed timelines as necessary.
· Provide appropriate supervision to ED Diversion Navigators, including completion of annual performance evaluations.
· Review monthly billing reports for ED Diversion and serve as liaison to DMH supervisors as necessary regarding discrepancies in billing.
· Review billing and productivity with ED Diversion Navigators and support adjustments as necessary to remain within budgeted allowance for service.
· Complete Comprehensive Assessments and Treatment Plans for all individuals on assigned case load within prescribed timelines.
· Complete all assigned additional assessments for all individuals on assigned case load within prescribed timelines.
· Maintain appropriate contacts and productivity with assigned caseload and ensure appropriate documentation is maintained, including all contact notes.
· Complete appropriate referrals for individuals by assessing their needs and connecting them with appropriate community resources and support.
· Attend all assigned meetings with referral sources, community partners, and internal partners as liaison for the ED Diversion Mobile Respite Service.
· Engage with local referral sources including hospitals, health centers, emergency departments, and others to ensure appropriate and sufficient referrals for program.
· Prepare and facilitate for weekly staff meeting with ED Diversion Navigators.
· Maintain all appropriate certifications and attend all required and assigned trainings.
QUALIFICATIONS:
· High School Diploma, GED, or equivalent, required.
· Minimum of 2 years’ experience working with adults with serious and persistent mental illness, behavioral health, healthcare, homelessness services, human services, or related fields, and underserved populations, required.
· Experience with local resources, navigating health, behavioral health, and/or substance use treatment systems strongly preferred
· Experience managing referrals, care coordination, or case management strongly preferred
· Experience with quality assurance, compliance, data management, and performance improvement…