Peer Specialist, Behavioral Health

Davita Inc.; New York (NY); On-site; USD 45,000 - 77,000; Full time

Job summary

A leading company in healthcare management is seeking a dedicated individual to assist members with Care Management needs in New York. This role requires collaboration with clinical staff and various community agencies to ensure comprehensive support for enrolled members. Ideal candidates will have peer advocacy certifications and relevant experience in health care. Your focus will be engaging with members to facilitate participation in programs that improve their care and support their journey towards health.

Qualifications

• 2-3 years relevant professional work experience required.
• Fluency in English and Spanish preferred.
• Experience in a multicultural setting preferred.

Responsibilities

• Assist members with Care Management needs and coordinate with clinical staff.
• Perform telephonic and in-person outreach for member engagement.
• Triage cases and manage caseload with clinical team.

Skills

Customer service skills

Communication skills

Problem-solving ability

Organizational skills

Education

High School Diploma

Bachelor's in related field

Certified Recovery Peer Advocate

Certified Mental Health Peer

Tools

Microsoft Office Suite

Job description

Summary of Job

Assist the entire BH Care Management interdisciplinary team in managing members with Care Management needs. Ensure work is appropriately documented in the system to effectively implement member care plans. Work seamlessly with clinical staff to ensure member needs are met. Provide telephonic and in-person outreach to members that have been identified for/enrolled in care management and ensure members' needs are supported throughout the duration of member enrollment to the program, by completing screenings with members, coordinating with Care Manager on members' care plan, making appropriate referrals to the interdisciplinary care team, coordinating post-acute services on behalf of members, assisting with community resource needs and more. Perform in-person member visits in community settings, such as their home, Neighborhood Care sites, community agencies,
shelters, hospitals, and physician offices for member engagement.

Responsibilities:

• Work collaboratively, as a critical component of the Medical Management team, to facilitate non-clinical elements of care management, including appointment scheduling and reminders, arranging transportation, and identification of/connection to community based resources.


• Perform accurate and timely intake and data entry for all Care Management requests and referrals for all lines of business, upon receipt of inbound requests, via call, fax, and web portal, in accordance with departmental policy and regulatory requirements.


• Perform member telephonic and in-person outreach for program enrollment and ongoing engagement with the goal of retaining members in the BH Care Management Program.


• Perform in-person member visits in community settings, such as their home, Neighborhood Care sites, community agencies, shelters, hospitals and physician offices to introduce care management programs, validate member contact information, and promote member engagement and retention in the program.


• Triage cases and assign receipts to appropriate teams.


• Communicate and/or respond to inquiries from providers, facilities, and members.


• Initiate completion of member and provider correspondence and verbal outreach according to departmental guidelines.


• Enter and maintain documentation in electronic record, meeting defined timeframes and performance standards.


• Perform other related projects and duties as assigned.


• Manage caseload and update care plans for low and moderate risk members in collaboration with the clinical team.


• Support care interventions including making doctor's appointments, health coaching, referrals to internal and external resources, assist with transportation issues.


• Identity and address needs for Transitions of Care.


• Leverage motivational interviewing skills and a member-centric approach to identify members' needs, prioritize and support care plan implementation.


• Perform a wide range of research and educational outreach activities to encourage healthy behaviors, such as outreaching to identified members who need a primary care provider or who may have gaps in care related to recommended tests or provider visits and facilitate gap closure and receipt of evidence-based care.


• Adhere to processes for collecting member-specific clinical and demographic data from providers and other entities as required by clinical staff.


• Support communication and coordination with delegated entities, as necessary.


• Coordinate directly with community-based organizations and agencies to identify available and/or alternative resources for a wide range of concerns, including home safety, financial assistance, caregiver support and transition assistance.


• Actively participate in assigned committees and projects.


• Additional tasks and duties as required.

Qualifications

• High School Diploma (Required)


• Bachelor's in related field preferred (Preferred)


• Certified Recovery Peer Advocate (Required) OR Certified Mental Health Peer (Required)


• 2 -3 years' relevant professional work experience (Required)


• 2 years' experience in health care industry, or other related activities (Preferred)


• Community Health Worker Certification may be considered with extensive mental health experience (Preferred)


• Additional years of experience/certifications/training may be considered in lieu of educational requirements


• Experience working in a multicultural setting (Preferred)


• Fluency (verbal) in English and Spanish (Preferred)


• Excellent customer service skills (Preferred)


• Strong oral, written and interpersonal communication skills (Required)


• Ability to work both independently and collaboratively with others


• Previous system user experience in a highly electronic environment (Required)


• Proficiency in Microsoft Office suite skills (Required)


• Knowledge of medical terminology and medical payment (Preferred)


• Ability to prioritize multiple tasks


• Detailed oriented; strong organizational and prioritization skills (Required)


• Dedicated home office space with reliable internet access to ensure PHI HIPPA compliance (Required)


• Strong problem-solving ability, critical thinking skills, and flexibility (Required)

Additional Information

• Requisition ID: 1000002351


• Hiring Range: $45,000-$77,000