Engagement & Connection Specialist

Essential Duties And Responsibilities

• Collaborate with clinical staff, community systems, and other stakeholders to address comprehensive treatment needs.
• Conduct outreach and engagement efforts in community settings including homeless camps, shelters, emergency departments, jails, detox centers, and other identified locations, with emphasis on high-risk populations such as pregnant individuals, IV drug users, and justice-involved persons.
• Perform initial screenings, assessments, urgent engagements, diagnostic evaluations, and annual updates in both community and crisis settings.
• Aid members with diversion or stabilization, pre-enrollment services, and linkage to Medication-Assisted Treatment (MAT).
• Facilitate intake and enrollment in care by coordinating with internal staff and supporting members throughout the process.
• Facilitate care coordination with internal staff for members who are admitted and discharged for identified and allocated community systems and stakeholders.
• Provide transportation and accompaniment to medical, behavioral health, legal, and social services appointments as needed.
• Conduct integrated healthcare assessments and identify barriers to treatment or health access, making appropriate interventions or referrals.
• Support members in following through diagnostic tests, treatment recommendations, and medication adherence, offering education and navigation.
• Obtain and file relevant health records and provider notes in the electronic health record while ensuring documentation is complete and timely.
• Develop, implement, and revise integrated service plans and monitor progress on treatment goals and crisis plans.
• Provide consistent follow-up on referrals and maintain regular contact with treatment teams to track member progress and ensure continuity of care.
• Offer individualized education, advocacy, and support through home-based, office-based, and community-based services.
• Maintain accurate written records of outreach efforts, enrollment potential, and service delivery.
• Ensure accurate billing is submitted for each interaction and/or activity supporting a member’s treatment goals.
• Perform crisis intervention, de-escalation, and reengagement outreach via various methods including phone, home, and jail visits.
• Attend required staff meetings, training, and participate in interdisciplinary case conferences.
• Support other departments in service engagement efforts and contribute to continuous program development.
• Coordinate 24/7 hour lines and support of after-hours responsibilities.

Qualifications

• Education & Experience: Masters or Bachelor’s degree in a healthcare field and no related experience OR; Masters or Bachelor’s degree in a non-healthcare related field and 6 months relevant related experience OR; Associates’ degree in a healthcare field and 6 months related experience OR; Associates’ degree in a non-healthcare field and 1-year related experience OR; Certified Medical Assistant and 1-year related experience OR; Certified Peer Support Specialist and 1-year related experience OR; High School diploma or General Education Equivalent (GED) and 2 years related experience.
• Additional Requirements: Valid Arizona Driver’s license, proof of current insurance and willingness to use personal vehicle. Driver’s license is an essential requirement for performing duties for this position. Clean Motor Vehicle Record - no more than 2 moving violations or a license suspension in past 3 years. Must be able to work 12-hour shifts, evening, nights & weekends.