Remote Opportunity

Schedule: Monday through Friday 8:00 am - 5:00 pm 

Bilingual in English/Spanish preferred

 

PRIMARY FUNCTION

The Behavioral Health Care Coordinator (BHCC) is responsible for providing care coordination services to patients with mental health and/or substance-use disorders who demonstrate high behavioral health utilization and/or psychosocial vulnerability. The BHCC supports continuity of care by facilitating communication between patients, primary care providers, behavioral health specialists, and community resources. In addition, the BHCC conducts proactive outreach to patients identified within HEDIS quality measures to promote medication adherence, ensure timely specialty follow-up, and support improved clinical outcomes aligned with value-based care objectives.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all the duties that may be assigned.

Performs warm calls/wellness checks in between provider visits with patients to escalate any new clinical concerns to providers, monitor treatment compliance and patient status. Monitor care coordination and behavioral health consultation plan according to the patients’ needs. Is part of the team who assesses, plans, implements, monitors and evaluates community mental health services to meet the patient’s behavioral health needs. Assists patients by contacting external behavioral health/substance-use community-based providers to assist with accessing quality and cost-effective care. Ensures we steer our patients to our in-network mental health specialty partners and aids in clinical assessment to match urgency and severity of the case. Collaborates with the patient and patient care teams, both internal and external, to ensure appropriate actions  (example: schedule appointments, follow-up with family compliance) are taken to meet the patients’ needs. Any concerns are escalated to the internal team.  Maintains regular communication with external providers to ensure coordinated care. Addresses barriers to healthcare and or Social Determinants of Health including, but not limited to, homelessness, housing instability, financial resources, transportation, childcare, etc.  by using the social determinant of health screening tool . Coordinates with specialty community partner care manager to address barriers to care.  Use Social Determinats of Health vendor as needed and available. Serves as a source of behavioral health knowledge for internal staff. Demonstrates cultural sensitivity and respect for the patient. Maintain a caseload of a minimum of 100 patients. Perform other duties as assigned.

QUALIFICATIONS

EDUCATION:

Minimum Bachelor’s degree in Psychology, Nursing or related field.

EXPERIENCE:

A minimum 2-3 year of healthcare experience required with experience in a behavioral health setting.

 

CERTIFICATION

Preferred emphasis in Psychology or behavioral sciences.

KNOWLEDGE, SKILLS AND ABILITIES

Strong telephonic skills and verbal articulation skills. Ability to assess emergency situations and act accordingly. Possess a positive attitude and display exceptional customer service skills. Detail oriented and ability to multi-task. Ability to build effective working relationships with patients, parents, guardians, fellow employees and the public. Some clinical, interpersonal, organizational and communication skills. English writing skills with spelling, grammar, and punctuation. Basic Excel and knowledgeable in Microsoft Outlook, and Word. Willing to learn the quality process as it relates to a medical practice. Computer skills and experience with electronic health records.  Ability to work independently and as a team player.

TYPICAL WORKING CONDITIONS

Patient-facing (remotely or physical) Must be U.S. based. Full time remote requires quiet workspace without distractions or interruptions while interacting with patients and caregivers. Considerable sitting on a daily basis Able to work under emotionally stressed conditions. Occasionally subject to challenging environment.

OTHER PHYSICAL REQUIREMENTS

Vision Sense of sound Sense of touch Ability to wear Personal Protective Equipment (PPE), if applicable.

PERFORMANCE REQUIREMENTS

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.