Care Specialist - Collaborative Care

Beth Israel Lahey Health•Woburn, MA

1d•$20 - $24

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The CoCM Care Specialist is a front-line, first impression position requiring a customer-service oriented individual with a professional and positive attitude that will assess what is most important for the patient regarding his/her behavioral health and treatment goals, and provide information about the CoCM program, and other behavioral health resources. The CoCM Care Specialist will interact with new and current primary care patients. The CoCM Care Specialist performs outreach and engagement as well as care coordination and care transitions for individuals eligible, referred, and enrolled in Collaborative Care (CoCM) - a BILH BS/Primary Care integrated service. The CoCM Care Specialist, under the direction and supervision of the CoCM Regional Program Director, is a member of the patient’s care team and performs outreach/engagement, care coordination, scheduling, and care transition functions for individuals eligible, referred, and enrolled in the Collaborative Care (CoCM) program. Job Description: Essential Functions/Key Responsibilities: Assume responsibility for a patient case load; Conduct outreach and engagement activities and provide information about the benefits, design and purpose of Collaborative Care (CoCM); schedule patients for visits when indicated; Adhere to all policies and procedures relative to outreach and engagement, care coordination and care transition functions and activities; Utilize person-centered framework to identify the patient’s goals, preferences, and desired level of involvement; Identify the need for interpreter service, cultural considerations, preferences, and accommodations; Facilitate communication among and coordinate with the care plan team and other providers who serve the patient; Execute the activities necessary to support the patient’s care plan to ensure the patient has timely and coordinated access to medical, behavioral health and social care needs; Completes all necessary documentation within expected timeframes and in compliance with program expectations; Develop and maintain collaborative relationships with community-based organizations; Facilitate referrals to resources including medical appointments and conduct ongoing follow-up; Support safe transitions in care; Participate in supervision with the CoCM Regional Program Director, group supervision with the CoCM clinical team, and other program meetings and trainings as required. Participate in all trainings conducted or directed by BILH BS Other duties as assigned Leadership positions should describe the type and level of supervision exercised over specific job titles: This position does not have supervisory responsibilities. Include the size of the budget managed if this position has budgetary responsibility: This position does not have direct budgetary responsibilities. Oral and written communications and internal and external interactions that are required in this position: Must have the ability to follow oral and written directions as they relate to the functions listed above. Must have the ability to organize, prioritize and multi-task workload in a fast-paced environment, handle confidential matters with discretion and maintain a professional demeanor. Ability and desire to work in a diverse and multicultural setting.

Requirements

Bachelor's Degree from an accredited university in psychology, social work or related human services field.
1-3 years’ experience in community-based behavioral health support program preferred.
Ability and desire to work with a diverse patient population.
Demonstrate excellent customer service in verbal, interpersonal and written skills with the ability to work collaboratively within a diverse team environment.
Strong communication, time management and organization skills.
Ability to maintain good boundaries regarding confidentiality and personal relationships
Ability to evaluate what is needed by each individual and adjust approach accordingly.
Experience with accessing local resources and navigating mental health and/or substance abuse treatment systems.
Proficiency with electronic health record documentation or ability to complete documentation electronically is required.
Working knowledge of windows operating system and standard desktop applications such as Windows and Microsoft Suite.
Travel and the ability to meet with colleagues and patients served in a variety of settings is required. As such, must have a valid driver’s license, good driving record and/or a reliable vehicle.
Some flexible hours to accomplish outreach and engagement of enrollees at times when they are reachable; this may involve some early evening hours or later workdays.
While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; and talk or hear.
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.
The physical and demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Nice To Haves

Supervisory experience preferred.

Responsibilities

Assume responsibility for a patient case load
Conduct outreach and engagement activities and provide information about the benefits, design and purpose of Collaborative Care (CoCM)
schedule patients for visits when indicated
Adhere to all policies and procedures relative to outreach and engagement, care coordination and care transition functions and activities
Utilize person-centered framework to identify the patient’s goals, preferences, and desired level of involvement
Identify the need for interpreter service, cultural considerations, preferences, and accommodations
Facilitate communication among and coordinate with the care plan team and other providers who serve the patient
Execute the activities necessary to support the patient’s care plan to ensure the patient has timely and coordinated access to medical, behavioral health and social care needs
Completes all necessary documentation within expected timeframes and in compliance with program expectations
Develop and maintain collaborative relationships with community-based organizations
Facilitate referrals to resources including medical appointments and conduct ongoing follow-up
Support safe transitions in care
Participate in supervision with the CoCM Regional Program Director, group supervision with the CoCM clinical team, and other program meetings and trainings as required
Participate in all trainings conducted or directed by BILH BS Other duties as assigned