Care Access & Referral Engagement Specialist

Cummins Behavioral Health Systems; Indianapolis (IN); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

401K program

Dental Insurance

Life Insurance

Medical Insurance

Vision Insurance

PTO 23 days

8 paid holidays

401K employer match

Public Service Loan Forgiveness

Job summary

Cummins Behavioral Health Systems, Inc. in Avon, IN, seeks an experienced Referral Engagement Coordinator to manage intake and engagement for outpatient referrals.

You will coordinate with referral sources, clinical teams, and leadership to determine eligibility, start services, and maintain compliance. Responsibilities include monitoring referral inboxes, documenting decisions in the electronic health record, and providing timely outreach to referred individuals to ensure same-day access.

Qualifications

• High School diploma or equivalent required; associate or bachelor•s degree preferred (behavioral health, social work, or related field).
• Experience in healthcare intake, care coordination, or behavioral health is preferred.
• Familiarity with electronic health record systems preferred.
• Prior experience with DCS, juvenile justice, or community-based services is a plus.

Responsibilities

• Referral intake and monitoring: Monitor designated referral inboxes regularly, triage incoming communications, track and respond to time-sensitive referral requirements.
• Referral review and determination: Determine referral acceptability and collaborate with clinical leaders when needed.
• Referral acceptance and documentation: Accurately document referral decisions, enter appropriate data in electronic health record including authorizations.
• Chart set up and data management: Ensure consumer charts have updated demographic and payer information.
• Outreach and engagement coordination: Make timely outreach to referred individuals and document all outreach attempts appropriately, ensure referred individuals are provided with appropriate same day access information.
• Provider and stakeholder coordination: Communicate with referral sources to provide updates on referral status and request updated referrals as needed.
• Compliance and quality assurance: Ensure all referral processes adhere to required timelines and documentation standards.
• Ongoing case monitoring and closure: Monitor referral progression through engagement and ensure proper case closure when appropriate.

Skills

Organizational and Workflow Management

Critical Thinking and Decision Making

Communication and Collaboration

Attention to Detail and Documentation

Behavioral Health Systems Knowledge

Adaptability and Priority Management

Education

High School diploma or equivalent

Associate or Bachelor's degree preferred

Job description

Cummins Behavioral Health Systems, Inc. in Avon, IN, seeks an experienced Referral Engagement Coordinator to manage intake and engagement for outpatient referrals.

You will coordinate with referral sources, clinical teams, and leadership to determine eligibility, start services, and maintain compliance. Responsibilities include monitoring referral inboxes, documenting decisions in the electronic health record, and providing timely outreach to referred individuals to ensure same-day access.