Post ER Engagement Specialist

OVERVIEW:

McClendon Center is seeking compassionate and motivated individuals to serve as PostER Engagement Specialists (PEES). In partnership with AmeriHealth Caritas DC this position focuses on improving post hospital followup care for highrisk Medicaid members following emergency department (ED) visits.

This is a unique fieldbased role located at Washington Hospital Center and Howard University Hospital where youll play a vital role in helping vulnerable individuals access the services they need to improve their health and wellbeing.

POSITION SUMMARY:

As a PostER Engagement Specialist (PEES) you will proactively engage members who frequently use emergency room services and may struggle to connect with ongoing medical or behavioral health care. Using the Event Notification System (ENS) provided by AmeriHealth Caritas DC you will locate members in person at the emergency room waiting rooms complete historical documentation and connect the member to appropriate followup services to include primary medical and/or behavioral health services.

PRINCIPAL ACCOUNTABILITIES:

• Review ENS reports to identify highrisk Medicaid members following ED visits.
• Verify member eligibility using NaviNet.
• Make at least three substantial outreach attempts per member in accordance with AmeriHealth Caritas DC guidelines.
• Contact members to conduct or coordinate behavioral health screenings in collaboration with the Patient Discharge Coordinator Clinical Supervisor.
• Conduct health and behavioral screenings to determine immediate care needs.
• Refer members to appropriate services including:
  • Primary care or specialist postdischarge appointments
  • Intake appointments with Community Support Agencies (CSA)
  • AmeriHealth Caritas DC care management programs
• Follow up with each member to confirm attendance at scheduled appointments and assist with rescheduling if needed.
• Collaborate with hospital staff AmeriHealth Caritas DC and internal teams to support seamless care coordination.
• Document all outreach efforts and outcomes thoroughly in the Credible system; documentation must be timely accurate and descriptive.
• Track progress toward Referral/Completion status in accordance with program requirements.

PROGRAM IMPACT:

This program reduces non urgent ED visits promotes access to outpatient health services and helps members stay engaged in their aftercare plans. As a PEES member your work directly improves the health and quality of life of vulnerable members of the community.

COMPENSATION:

• PEES are compensated a flat rate of $210 per located and engaged member once all conditions for Referral/Completion have been met as outlined by AmeriHealth Caritas DC.

Qualifications :

Must pass a background check and be free of any local or federal sanctions or exclusions. Must maintain client/member confidentiality at all times. Must conduct oneself with appropriate decorum so that the sterling reputation of McClendon Center is upheld at all times. Must operate with high ethical and moral standards being forthright and honest at all times.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:

• High school diploma or GED required; associates or bachelors degree in social work psychology healthcare or a related field preferred.
• Minimum of 12 years experience in healthcare behavioral health case management outreach or community support services.
• Strong communication engagement and motivational interviewing skills.
• Ability to work independently in a hospital setting and exercise sound judgment.
• Strong skills in data skills including Excel is essential.
• Experience with EHR systems Credible and NaviNet is a plus.
• Knowledge of Medicaid and outpatient health services preferred.
• Comfortable working with culturally diverse populations while maintaining a respectful and supportive approach.
• Must be organized detailoriented and capable of documenting activities clearly and on time.

Hours/Schedule:

• Contracted hours available 24/7

If youre passionate about helping people thrive in a hospital or outreach setting and want to be part of a missiondriven team we encourage you to apply.

Additional Information :

At the McClendon Center you will find powerful resources for career long success..

If you are ready for a new challenge in your professional career submit your cover letter and resume online.

Resumes are reviewed on a rolling basis. 

This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by job holders within this job. This job description is not intended to be an exhaustive list of qualifications skills efforts duties responsibilities or working conditions associated with the position.

McClendon Center is an equal opportunity employer and does not discriminate on the basis of race color national and ethnic origin sex marital status religion or disability.

No phone calls please. Note: McClendon Center is not accepting resumes or referrals from agencies. If you are a recruiter search firm or employment agency you will not be compensated in any way for your referral of a candidate even if McClendon Center hires the candidate.

Remote Work :

No

Employment Type :

Contract