Engagement Specialist at GRAND Mental Health in Vinita, OK

Position Summary:

The Client Engagement Specialist focuses on identifying, outreaching, and re-engaging clients who are at risk of discharge or have disengaged from services. This role supports client retention, continuity of care, and agency growth by ensuring timely follow-up, barrier resolution, and reconnection to services.

This position also assists clients in identifying and overcoming barriers to care, supports informed service decisions, and may assist with outpatient group sessions to help establish or reestablish services. The Client Engagement Specialist works closely with ITMs, therapists, TSS, and leadership to coordinate efforts and improve overall client outcomes.

EDUCATION, QUALIFICATIONS, AND EXPERIENCE:

• High school diploma or equivalent required

• Case Manager I required; Case Manager II preferred

• Valid and unencumbered Driver’s License required

• At least 6 months of experience working with mental health and/or substance abuse populations

KNOWLEDGE, SKILLS, AND ABILITIES:

• Can demonstrate or show aptitude for critical thinking and active listening.

• Strong interpersonal skills.

• Ability to understand and interact effectively with individuals across different cultures, backgrounds and identities.

• High attention to detail while adjusting plans and priorities in response to changing circumstances.

• Excellent time management skills that include planning, delegating tasks, stress management and maintaining focus.

• Self-motivated with proven ability to prioritize tasks efficiently.

• Proficient in collaborating on a team to work effectively with others toward a common goal, utilizing communication and trust.

• Proficient use of Eleos and other agency approved documentation technology as a required function of this position

In addition, must possess skill in working cooperatively and effectively with clients, staff, management, and other professional groups; in exercising mature judgment in dealing with people; in presenting ideas clearly and accurately; in reading and comprehending the English language; and in communicating effectively, both orally and in writing.

This role should have an expectation of core competencies in relation to individuals with co-occurring disorders.

JOB DUTIES AND RESPONSIBILITIES:

This position is responsible and held accountable for the following duties:

• Identifying, outreaching, and reconnecting clients who are disengaged, at risk of discharge, or recently discharged, while supporting continuity of care, retention, and access to services.

Re-Engagement Outreach and Client Contact

• Begin communication efforts with assigned clients after the client has missed two appointments of any type and the primary care team has completed required outreach efforts.

• Conduct structured re-engagement outreach using established protocols, including phone calls, text messages when applicable, written communication, email, coordination with guardians when appropriate, and in-person contact attempts.

• Complete multiple outreach attempts within defined timelines and document all efforts in the EHR according to agency standards.

• Assess and determine reasons for disengagement, missed appointments, or desire to discontinue services.

• Conduct Client Feedback Surveys whenever possible and document findings.

Discharge Prevention and Reconnection to Care

• Identify clients at risk of discharge due to missed appointments, no recent services, or other engagement concerns.

• Partner with ITMs, therapists, TSS, and other team members to intervene prior to discharge whenever possible.

• Assist clients in reconnecting to services by scheduling appointments, reestablishing treatment, and ensuring smooth transition back into care.

• Support informed client decision-making regarding available service options.

Barrier Identification and Resolution

• Identify barriers preventing engagement, including transportation, scheduling conflicts, financial concerns, Medicaid lapses, payer issues, or lack of understanding of services.

• Collaborate with clinical and support teams to resolve barriers quickly and connect clients with appropriate resources.

• Support MCD retention efforts by escalating payer concerns and coordinating with appropriate staff when insurance barriers are identified.

Coordination with Clinical Teams

• Collaborate closely with ITMs, therapists, TSS, Care Navigators, MRT staff, and leadership to coordinate re-engagement efforts.

• Communicate re-engagement status, unresolved barriers, and service gaps regularly to supervisors and treatment teams.

• Participate in team meetings, case staffing, and coordination activities related to re-engagement and outpatient services.

• Assist with Targeted Case Management activities during outreach efforts when applicable.

Outpatient Group Support

• Assist with presentation, facilitation, and delivery of outpatient group services.

• Serve as proctor for outpatient groups as needed based on client needs and program requirements.

• Support group facilitators by monitoring attendance, participation, and adherence to group guidelines.

• Provide coverage and logistical support to maintain continuity of outpatient group programming.

Documentation, Tracking, and Compliance

• Maintain timely, accurate documentation of outreach attempts, client responses, identified barriers, outcomes, and client preferences in the EHR.

• Support completion of National Outcome Measures (NOMs) and other required assessments/documentation.

• Utilize Eleos, the agency AI-supported scribing tool, for eligible services and complete all required Eleos training.

• Adhere to agency documentation protocols and ensure all records meet compliance and quality standards.

• Update tracking tools, dashboards, and assigned reports as required, including discharge/re-engagement reports, no-service client lists, and lost MCD lists.

Performance Expectations and Outcomes

• Meet expectations for outreach productivity, timeliness of follow-up, documentation completion, and re-engagement rates.

• Contribute to agency goals related to client retention, Medicaid growth, reduced avoidable discharges, and improved continuity of care.

• Identify trends in disengagement and provide feedback to leadership regarding process improvement opportunities.

Agency Standards and Organizational Responsibilities

• Follow all agency policies, procedures, confidentiality requirements, and safety protocols.

• Understand and promote the Certified Community Behavioral Health Clinic (CCBHC) model by supporting access to high-quality, integrated behavioral health and substance use disorder services.

• Perform other reasonably related duties as assigned by supervisor or management.

• Meet or exceed satisfactory expectations on all scheduled job performance evaluations.

• Maintain regular and predictable attendance as an essential function of the position.

Must perform the specific job duties as listed above to meet position expectations.

WORK ENVIRONMENT:

• This position works indoor in a traditional office setting.

• This role will require occasional county/regional travel (up to 50%) to various community locations and in the client’s residence as needed for the role (e.g., schools, government offices, medical facilities, etc.)

• Must be willing and able to perform all job-related travel normally associated with this position (this may include transportation of clients).

• Travel expectations can vary from time to time based on coverage needs

• This position is not likely to be required to work overtime or on-call outside of the regular scheduled work hours. Must receive pre-approval from manager prior to working outside of scheduled work hours.