Behavioral Health Care Coordination Specialist- OhioRISE

Cincinnati Children's•Mount Vernon, VA

3d•$23 - $29

About The Position

The Behavioral Health Care Coordination Specialist supports youth and families through OhioRISE care coordination. The specialist develops and implements crisis and safety plans as needed, facilitates referrals and connections to services, monitors care plan implementation, and manages 1915(c) Waiver funds while ensuring required prior authorization and Ohio Department of Medicaid approval. Services and care management must respect the youth and family’s goals, provider choices, and resources, and be family-friendly and culturally competent. The specialist conducts outreach, assessments, and meetings in person and in the community or according to member and guardian preference. Caseloads are generally one Intensive Care Coordination case per 10 members and one Moderate Care Coordination case per 20 members, with a mix possible when warranted. The specialist engages newly referred youth and families, partners with them to develop a Child and Family-Centered Care Plan (CFCCP), and helps identify the client’s family team. The role includes completing comprehensive assessments, including Child and Adolescent Needs and Strength (CANS) assessments, and facilitating Child and Family Team (CFT) meetings at least monthly or more often as needed. The specialist serves as the CFT facilitator and point person, coordinating with team members and providers to support the plan’s implementation and effectiveness. The role requires professional boundaries, communication appropriate to the patient’s level of functioning and readiness, and awareness of how personal experiences and values may affect therapeutic relationships. The specialist coordinates with providers and agencies, including physical health providers and school personnel, communicates progress and updated strategies to the team, and helps develop community resources. Care should be culturally competent and trauma-informed. The specialist documents care plans and patient responses accurately and promptly, bills for care coordination activities, maintains team attendance and CFCCP approvals in the youth’s electronic health record, and ensures the signed CFCCP is placed in the record within two weeks of the CFT meeting. The specialist also provides the CFCCP to Aetna for quality review, initiates service authorization as required within ODM timelines, and develops SMART goals with clear measures.

Requirements

High school diploma or equivalent.
At least 3 years of experience and training in one or more of the following: family systems; community systems and resources; case management; child and family counseling or therapy; child protection; or child development.
May require a clinical license, certification, or training.

Responsibilities

Develop and implement individual crisis and safety plans as needed with youth and families.
Facilitate referrals and linkages, monitor care plan implementation, and ensure required prior authorization and ODM approval for 1915(c) Waiver funds.
Conduct member outreach, assessments, and meetings in person and in the community or as preferred by the guardian or member.
Engage newly referred youth and families in care coordination and partner with them to develop a Child and Family-Centered Care Plan (CFCCP) and identify the client family team.
Complete comprehensive assessments, including Child and Adolescent Needs and Strength (CANS) assessments.
Facilitate Child and Family Team (CFT) meetings at least monthly or more frequently as needed, and help youth and families participate as full partners in assessment, planning, and implementation.
Serve as the CFT facilitator and point person; maintain contact with team members, monitor commitments, and help resolve implementation issues.
Coordinate care with providers and agencies involved with the family, including physical health providers and school personnel.
Communicate CFCCP progress and updated strategies to team members and obtain their cooperation and approval.
Work with others to develop community resources to meet youth and family needs.
Use culturally competent and trauma-informed care principles while maintaining professional boundaries and communicating in a manner suited to the patient’s functioning and readiness.
Document care plans and patient responses accurately and promptly, bill for care coordination activities, and maintain quality information in the youth’s EHR.
Document team attendance and CFCCP approvals, obtain required signatures, and place the CFCCP in the youth’s record within two weeks of the CFT meeting.
Provide the CFCCP to Aetna for quality review and initiate service authorization within ODM timelines as needed.
Develop SMART goals with clear measures for achieving goals.
Maintain caseloads at the stated Intensive Care Coordination and Moderate Care Coordination ratios, with mixed caseloads when warranted.