Autism Services Navigator

Job Title: Autism Services Navigator 
Job ID: 75434
Location:  CA, OR, AK, NV, and MN - Remote 


Overview:
In support of Care beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services for Care beneficiaries diagnosed with autism spectrum disorder (ASD). The ASN works to meet individual or families’ comprehensive health needs through communication and guidance regarding available resources to promote quality, cost-effective outcomes. ASN’s are responsible for awareness regarding the scope of practice of their state of licensure. ASN’s are dedicated advocates for our ACD families,
helping them to address barriers to care and finding services to support them.


What  you will be doing:

• Apply knowledge of HIPAA privacy and security regulations as well as accreditation standards to ensure compliance in daily practice.

• Screen beneficiary needs and circumstances with predetermined program criteria to determine appropriateness for the ACD. Identify beneficiaries at high-risk for significant adverse health outcomes and with high-cost, clinical and psychological factors impacting care.

• Educate beneficiaries on ACD and company benefits.

• Provide timely decision of enrollment into the ACD and completes appropriate notifications.

• Complete comprehensive case management assessments, and collaborates with the beneficiary, family and associated providers to develop an individualized comprehensive care plan (CCP) to assist beneficiaries with access to quality care in a cost-effective manner. Makes the CCP available to the beneficiary/family, Primary Care Manager (PCM) or other providers and updates the CCP as necessary.

• Obtain necessary agreements for obtaining protected health information as needed.

• Reassess and monitor CCPs for adjustments depending on needs, or on a monthly basis at a minimum, to address newly identified needs, services, treatment, and funding options. Documents changes and actions related

What you must have:

• Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Clinical Social Worker, Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

• Three years full-time equivalent of direct clinical care to the consumer

• Clinical experience in pediatrics, behavioral health, and/or ASD; a healthcare environment; and proven care management experience.

• The ability to obtain an industry recognized certification in case management within four (4) years of hire.

• Must be able to receive favorable Interim and adjudicated final Department of Defense (DOD) background investigation

• U.S. Citizenship

Nice to have:

• 2 years’ experience working with those diagnosed with ASD and/or the TRICARE ACD

• 2 years case management experience

• Possess industry recognized case manager certification

Salary/Rate Range: $81,000.00 to $93,000.00 yearly
Contract to Hire


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com