Job description

Schedule: M-F 9a-5p REMOTE up to 4 days a week!

Salary: $50,000/ year

Sign on Bonus: $1000; $500 upon completion of 30 days, $500 upon completion of 6 months

The Intake and Quality Specialist manages the referral systems for Vinfen's Care Coordination programs in the Northeast region, including the Community Support Program (CSP) One Care, and Behavioral Health Community Partners (BHCP) and partners with the Directors on quality assessment and improvement activities. These programs provide health care coordination services to MassHealth members with complex medical and behavioral health needs. The Specialist markets our programs to external parties such as Accountable Care Organizations, hospital systems, home health agencies and primary care practices to expand referrals and coordinates with internal existing Vinfen programs to increase enrollment including Adult Community Clinical Services, Behavioral Health Clinics, clubhouses, and other specialty programs.

Responsibilities include but are not limited to:

• Collaborates with referral sources to determine which care coordination program best fits a referred member based on current clinical and health care needs and insurance eligibility.
• Markets programs to external and internal parties to expand referrals as directed by supervisor.
• Checks referred members' insurance eligibility status in EOHHS Virtual Gateway platform at time of intake and reauthorization or at times of loss to determine necessary action steps to retrieve insurance.
• Manages all incoming referrals for CSP including taking referrals via phone or CSP email and complete Referral Form.
• Completes Massachusetts Behavioral Health Partnership (MBHP) authorization process for qualifying CSP referrals via the Interactive Voice Registration system or with the Authorizing Representative and ensure authorization is recorded in the Provider Connect System.
• Completes Beacon authorization process via eServices system for qualifying CSP referrals.
• Completes authorizations for other funding sources as required, including Optum and Tufts.
• Conducts audits in eHana to identify expiring CSP Authorizations and complete all reauthorizations for additional 90 days of service as assigned.
• Creates new CSP member records in eHana after referrals are approved by supervisor.
• Performs other duties as assigned

Why Vinfen? We are committed to you! We offer great training, great benefits, career growth and job security!

Our comprehensive and generous benefits package includes:

• A fully funded, employer-sponsored retirement plan that requires no employee contribution as well as an employee-funded 403(b) plan
• First-rate Medical, Dental and Vision plans that are open all employees scheduled to work 30 hours per week or more. Plus, we offer a generous employer contribution toward the cost of medical insurance!
• Employer-paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance (no cost to you!)
• Employer-paid Short-Term Disability Insurance along with the option to purchase additional, voluntary, Short-Term disability insurance
• Flexible Spending Reimbursement Accounts (Health and Dependent care)
• Voluntary Term, Whole Life, Accident and Critical Care Insurance
• Generous paid time off (Employees scheduled to work 20 hours or more per week):
• 15 days of Vacation per year
• 11 Paid Holidays
• 10 Sick Days per year
• 3 Personal Days per year

• Educational Assistance and Remission Programs
• $500 Employee Referral Bonus with no annual cap!
• Other generous benefits including discounted YMCA memberships, access to discounted movie tickets and more!

Founded in 1977, for 40 years Vinfen has been a leading nonprofit human services organization that "transforms lives" by building the capacity of individuals, families, organizations and communities to learn, thrive and achieve their goals. Vinfen supports thousands of adolescents and adults with psychiatric, developmental and behavioral disabilities at more than 200 sites with 3,000 employees in eastern Massachusetts and Connecticut. www.vinfen.org/careers

My Vinfen. My Community. My Job.

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Keyword: VinfenIC

Job Type: Full-time

Pay: $50,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental pay types:

• Signing bonus

Ability to commute/relocate:

• Lowell, MA 01852: Reliably commute or planning to relocate before starting work (Required)

Work Location: Hybrid remote in Lowell, MA 01852

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