Specialty Programs Liaison

Job DescriptionWe are seeking a highly skilled and experienced professional to join our team as a Specialty Programs Liaison. This role will play a critical part in supporting care coordinators, supervisors, and managers in accessing Multi-System Youth Funding (MSY), 1915c Medicaid waivers, and Prior Authorizations for Psychiatric Residential Treatment Facilities (PRTF) within the OhioRISE program.

Key Responsibilities:

• Provide subject matter expertise on MSY, 1915c waivers, and PRTF applications to care coordinators, supervisors, and managers.
• Act as a liaison between Integrated Services for Behavioral Health and Aetna, The Ohio Department of Medicaid, and other stakeholders for questions and follow-up on MSY applications, 1915c Medicaid waivers, and PRTF applications.
• Engage with the Child and Family Team to support Prior Authorizations for PRTF placements, completing the process through collaboration with the team and obtaining additional clinical documentation.
• Support the Child and Family Team in accessing Multi-System funding, assisting with the completion or review of MSY applications to ensure all necessary information is obtained and applications are thoroughly completed prior to submission.
• Track requests, updates, renewals, and deadlines to ensure documents are completed and submitted in accordance with quality and compliance standards.
• Assist managers with chart and documentation audits, identifying opportunities for additional training and support for care coordinators.
• Provide advanced and/or complex care coordination services as needed.

Requirements:

• Bachelor's or master's degree in social work, education, counseling, psychology, or a related field.
• LSW/LPC required.
• Three years of experience providing coordinated supportive services/care coordination services.
• Previous supervisory experience preferred.
• Experience working in the behavioral health field, preferably with multi-system youth or individuals with autism and/or developmental disabilities.
• Working knowledge of local, state, and federal regulations for services for behavioral health, developmental disabilities, and autism.
• Knowledge of high-fidelity wraparound services preferred (training provided post-hire).
• Excellent communication skills, both oral and written, demonstrating professionalism with children, youth, families/caregivers, and colleagues, and partners.
• Excellent organizational skills with the ability to stay focused.
• Ability to prioritize multiple tasks.
• Demonstrated clinical knowledge of children with co-occurring developmental disorder and complex behavioral health issues.
• Experience working within Electronic Health Record systems.

Benefits:

• Medical
• Dental
• Vision
• Short-term Disability
• Long-term Disability
• 401K w/ Employer Match
• Employee Assistance Program (EAP) provides support and resources to help you, and your family, with a range of issues, including:

- Managing stress, anxiety, and depression

- Improving relationships at home or work

- Getting guidance on legal and financial concerns

- Coping with occupational stress and burnout support

- Addressing substance use issues

Our Vision: Healthy people. Strong communities.

Our Mission: Delivering exceptional care through connection.

Our Values:

Dignity - We meet people where they are on their journey with respect and hope.

Collaboration - We listen to understand and ask how we can best support the people and communities we serve.

Wellbeing - We are inclusive; we celebrate one another's strengths, and we support one another in being well.

Excellence - We demand high-quality care for those we serve and are a leader in how we care for one another as a team.

Innovation - We deeply value diversity of thought and experience, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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