BH Care Coordinator
8 hours ago
Boston
Job Title: BH Care Coordinator Location: Multiple States (see below) Pay: Competitive Job Summary: • Integral member of the Behavioral Health Clinical Support (BHCS) team, • Responsible for delivering telephonic outreach, conducting screenings, and coordinating behavioral health services and community resources for identified members, • Supports both members and providers across service areas and lines of business by facilitating access to appropriate care and promoting continuity of care Key Functions/Responsibilities: • Utilize motivational interviewing techniques to engage members in care coordination via telephonic outreach, • Educate members to enhance their understanding of behavioral health conditions, treatment options, and the importance of participation in their own care, • Maintain up-to-date knowledge of community-based services and resources to support appropriate referrals and linkage to care based on members’ individual needs and preferences, • Advocate for members and coordinate behavioral health and substance use disorder treatment and community resources, • Receive and triage referrals from the department’s toll-free line, email, Population Health Management Platform, • Coordinate and conduct telephonic screenings, arrange wellness visits, and deliver appointment and preventive care reminders, • Perform post-discharge follow-up calls and complete the BH transition of care screening, • Serve as liaison between members, providers, internal departments, and external agencies, • Maintain accurate and timely documentation within the designated medical management information system, • Support department operations by prioritizing and organizing staff assignments, triage tasks, and following workflows and SOPs, • Provide administrative support to the BH CM team primarily, and the BH Utilization Management team as needed, • Contribute to continuous improvement by identifying opportunities for improvement in administrative workflows and processes, • Perform additional duties as assigned by leadership to support the overall effectiveness and quality of care coordination services Supervision Received: • Weekly and ad hoc from Supervisor of BH Clinical Support Qualifications: • Education Required:, • High School Diploma (with significant experience coordinating behavioral health services) or;, • Associate’s degree required in health care or a related area or;, • Bachelor’s degree in psychology, social work, or related field (preferred), • Experience Required:, • Experience in either a high-volume customer service call center, data entry office, or health care office administration department, • Preferred/Desirable:, • Prior customer service/call center experience, • Prior work with Medicaid population preferred, • Experience coordinating behavioral health and substance use disorders treatment, • Bilingual/multilingual Competencies, Skills, and Attributes: • Strong motivational interviewing skills, • Ability to engage members, • Strong oral and written communication skills, • Detail oriented, • Ability to work independently but also in a team setting, • Ability to effectively collaborate with health care providers and all members of the interdisciplinary team, • Demonstrated strong organizational and time management skills, • Demonstrated ability to successfully prioritize, plan, organize and manage multiple tasks in a fast-paced environment, • Intermediate skill level with Microsoft Office products – Teams, Outlook, Word, Excel, and PowerPoint, • Knowledge of medical and behavioral health terminology strongly preferred Rotating Schedule: • 8-4:30, • 8:30-5, • 9:30-6 Location Preference: • Strongly prefer candidates in MA and NH, • Please limit submissions to the states below:, • Alabama, • Arizona, • Colorado, • Connecticut, • Florida, • Georgia, • Idaho, • Illinois, • Indiana, • Kansas, • Kentucky, • Maine, • Maryland, • Massachusetts, • Michigan, • Minnesota, • Missouri, • Nevada, • New Hampshire, • New Jersey, • New Mexico, • New York, • North Carolina, • Ohio, • Oklahoma, • Oregon, • Pennsylvania, • Rhode Island, • South Carolina, • Tennessee, • Texas, • Utah, • Vermont, • Virginia, • Washington, • West Virginia, • Wisconsin