Role and Responsibilities:

Screening, scheduling and referral:

• Initial screening of Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services

• Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch 

• Provide follow up calls to referral sources and members to ensure that members have been successfully engaged in services

• Make referrals to clinical homes and crisis providers that meet the timeliness standards as defined by NC Medicaid

• Provide information about local community resources, independent practitioners, and related providers for referrals for basic benefit services

• This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol

Authorizations:

• Assists with authorizations/admissions to state hospitals, ADATC, Three Way Hospitals, Level III Detox, Facility Based Crisis and all referrals to crisis services

• Process other acute care authorizations as requested by supervisor or other Access to Care Licensed Clinician

Automation:

• Screenings are completed using standard and specialized computer programs 

• Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems

• Provide technical assistance to First Responders, clinical home providers, and Mobile Crisis Management 

Cooperative Efforts:

• Establish and maintain effective working relationships within the unit, agency, and service system

• Consistently demonstrate professionalism, tact and diplomacy in handling irate callers and/or working with contract providers and other external parties

• Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees