Member & Recipient Services Clinician; Sun-Wed, Remote NC

LOCATION

Remote – this is a home based, virtual position. This person must reside in North Carolina or within 40 miles of the NC border.

Sunday – Wednesday from 10am-9pm. Due to of the Call Center and the Behavioral Health Crisis line, the job may require some holiday work throughout the year.

This position is within the Member and Recipient Services Department at Vaya Health. The Member and Recipient Services Clinician is responsible for providing an array of functions to assist consumers in receiving clinically appropriate assessments and services. Telephone calls come to the unit via a 1‑800 number from members, recipients, families, agencies, organizations, professionals and others within Vaya's catchment area. The Behavioral Health Crisis service line operates 24 hours per day, seven days per week, 365 days per year and the employee is subject to working holidays and holiday rotation as deemed necessary by the business.

The primary purpose of the position is to provide telephone screening and triage for callers and families who are seeking mental health, substance abuse, or developmental disability services. The unit assesses the nature of the caller's situation, determines the urgency of the caller's need, and makes a referral to the most appropriate service available based on the caller’s location and insurance plan.

Duties include linking callers to needed services within clinically appropriate time frames, including telephonic clinical triage and referral which includes a determination of need for urgent or emergent services. In addition to providing clinical support the position will also directly handle any telephonic requests for services at times of heavy call volume.

The employee works productively and efficiently with a wide variety of consumers, families, agencies, professionals, law enforcement and others in the community. Callers may be in distress or in emergency or crisis situations requiring speedy assessment and intervention. Some callers are at risk to harm themselves or others and this risk must be accurately assessed. The high volume of calls requires the employee to balance the need to do a careful and accurate telephone assessment of the consumer’s need and situation, with the need to be efficient in the use of time to complete the screening and triage interaction.

The employee develops and maintains the knowledge and skills necessary to accurately assess and refer consumers from all disability areas, and also maintains a good working knowledge of resources available throughout Vaya's entire catchment area.

Note:

This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health.

The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.

Handle telephonic requests for services, respond to member and recipient calls, and provide requested information:

Member and Recipient Svcs Clinician perform clinical screening, triage and referral to callers needing services, answer and provide disposition to service request calls at times of heavy call volume, and handle crisis calls in the Member and Recipient Services Call Center. Member and Recipient Svcs Clinicians triage calls for urgency and facilitate access to crisis services when risk indicators are present.

Where safety is at risk, the employee initiates immediate intervention via law enforcement or emergency medical assistance. Member and Recipient Svcs Clinicians will provide information and educate callers about the involuntary commitment process, as appropriate based on assessment of risk.

The employee provides brief crisis interventions and/or support…