Enrollment & Care Coordination Specialist - HRSN

Open-Sky-Community-Services; Worcester (MA); On-site; USD 30,000 - 40,000; Full time

Benefits offered by this job

Excellent supervision

Generous paid time off

Job summary

Open Sky Community Services in Worcester, MA seeks an Enrollment and Care Coordination Specialist to screen, enroll, and support members in CSP-HI, housing and nutrition programs, with data entry into the electronic health record system. The role includes coordinating with housing specialists and ensuring service orientations and consent are completed.

The ideal candidate will have at least two years of housing/behavioral health experience, strong communication, and a valid driver’s license.

Qualifications

• High School Diploma, GED or equivalent, required.
• Minimum of two years’ experience with housing and behavioral health population, required.
• Valid driver's license and acceptable driving history, required.
• Experience with electronic health records, billing and/or referral management strongly preferred.

Responsibilities

• Screen individuals for CSP-HI, housing, nutrition program, navigation and transitional goods eligibility.
• Complete enrollment including orientation to services, consents, and data entry into the EHR.
• Provide training, monitoring, feedback and corrective action to housing specialists.
• Assign and track housing specialists caseloads in collaboration with the team lead.
• Outreach to community providers to develop relationships and referral pathways.
• Verify insurance eligibility and monitor insurance eligibility for each member; obtain authorizations and track expirations.
• Participate in live review meetings with insurance company representatives for each member.

Skills

Communication skills

Team collaboration

Attention to detail

EHR experience

Driver's license

Education

High school diploma or GED

Tools

EHR systems

Billing software

Referral management systems

Job description

Job Description:The Health Related Social Needs (HRSN) Program works in collaboration with MassHealth to address the immediate daily necessities that arise from the inequities caused by the social determinants of health, such as lack of access to basic resources including stable housing, a toxin-free environment, healthy food, heating and Internet access, transportation, healthcare, safety, education, employment, and social connection.The Enrollment and Care Coordination Specialist will screen individuals for CSP-HI, housing, nutrition program, navigation and transitional goods eligibility and will complete enrollment for individuals in the program including orientation to services, service agreements, consents, and data entry into the electronic health record software for each member. They also provide training, monitoring, feedback and corrective action to housing specialists and assign and track housing specialists caseloads in collaboration with the team lead, as needed.Other Key Responsibilities:Outreach to community providers to develop relationships and develop referral pathways.Verify insurance prior to enrollment and monitor insurance eligibility for each member.Obtain authorizations from the insurance provider for each member. Track the authorization expiration and obtain new authorizations.Participate in live review meetings with insurance company representatives for each member.Qualifications:High School Diploma, GED or equivalent, required.Minimum of two years’ experience with housing and behavioral health population, required.Valid driver’s license and acceptable driving history, required.Must be able to collaborate with a multi-disciplinary team, possess excellent written and verbal communication skills with attention to detail, required.Experience with electronic health records, billing and/or referral management are strongly preferred.Pay Range:$25.55 - $25.55About Us:At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.At Open Sky, you’ll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!Benefits of Working for Open Sky Include:Excellent Supervision (Individual and Group), Professional Development, and Training OpportunitiesGenerous paid time off plan – you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications.Medical, Dental and Vision Insurance with Prescription Plan403b Retirement Plan with Employer MatchLife Insurance (100% Employer-Paid)Eligible employer for the Public Student Loan Forgiveness ProgramAnd more!Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status.