ACO BH Care Coordinator - Hybrid - Norwood 1 day/wk

Fallon Health • Norwood, MA

113d

About The Position

The BH Care Coordinator serves as a bridge between the community and the health plan, health systems, BH vendor, government and social service systems and works in partnership with the Clinical Integration Behavioral Health Case Managers and Social Care Managers to facilitate member appointments, research providers, facilitate community resources, interact with members with the goal to enhance the Behavioral Health Case Manager's and Social Care Manager's ability to manage a larger member population. This role embeds in person at ACO partner locations.

Requirements

• College degree (BA/BS in Psychology, Health Services field or BSW Social Work) preferred or 5 years' experience in a behavioral health related field and/or community social service agency.
• 3+ years job experience in a behavioral health related field and/or community social service agency required.
• Experience with telephonic interviewing skills and working with a diverse population required.
• Experience utilizing telephonic and in-person interpretation required.
• Experience with informal counseling, coaching, and motivational interviewing required.
• Satisfactory Criminal Offender Record Information (CORI) results.
• Basic understanding of Serious Persistent Mental Illness (SPMI), addictive disorders, and the Disability Culture.

Nice To Haves

• Experience in a healthcare managed care company, nursing facility, or in a Massachusetts Aging Access Service Point Agency or State Social Service Agency including DMH, DDS, and DCF preferred.
• Fluency in Spanish, Vietnamese or Portuguese preferred.

Responsibilities

• Maintain a general understanding of available behavioral health community resources and support groups, mental health services, social service and state agencies.
• Screen members for behavioral health needs and/or social determinants of health using a specialized needs assessment.
• Help connect members to the right resources, provide social support, informal counseling, assist with applications for state benefits, and advocate for an individual's community health needs using a strengths perspective and motivational interviewing skills.
• Attend care planning meetings, care coordination meetings, partner communication meetings, and other face-to-face meetings with providers, partners, and members.
• Conduct in home/office face to face visits for members identified as needing interaction and assessments.
• Conduct assessments and refer members to Community Partner Programs such as Behavioral Health and Long-Term Services and Supports.
• Utilize an ACD line to support department and incoming/outgoing calls with the goal of first call resolution.
• Assist individuals, families, groups, and communities in developing their capacity and access to resources.
• Manage a subcase load in conjunction with the BH team.
• Collaborate with Community partners to assist members to access appropriate resources.
• Support members with appointment assistance when barriers to access arise.
• Conduct initial member depression, anxiety, and CAG screenings over the telephone.
• Serve as an advocate for members to ensure they receive Fallon Health benefits.
• Make community visits to assist members with applications or other community resources.
• Strictly observe HIPAA regulations and Fallon Health policies regarding confidentiality of member information.
• Perform TruCare queue management assigning new referrals to team staff.
• Provide regular updates on the status of appointment attainment, attendance, and member well-being.

What This Job Offers

• Industry: Hospitals
• Education Level: Bachelor's degree