CCBHC Integrated Care Coordinator

RiverValley Behavioral Health•Owensboro, KY

23d•$19 - $22•Onsite

About The Position

The Integrated Care Coordinator serves as the primary liaison to ensure each individual receiving CCBHC services has access to coordinated, comprehensive, person-centered care. The role integrates behavioral health, primary care, and social support systems to improve outcomes for individuals with behavioral and physical health needs, while supporting communication and collaboration across internal programs, external providers, and other services. The position facilitates care coordination and referrals, maintains treatment plans and progress documentation, advocates for individuals’ needs and preferences, and coordinates across clinical disciplines and community partners. It also supports warm handoffs among CCBHC services and helps identify community resources and service gaps. The role upholds CARF and CCBHC standards, participates in quality improvement and audits, and complies with regulatory, confidentiality, and organizational requirements.

Requirements

Bachelor’s degree in Psychology, Social Work, Sociology, or a behavioral health-related discipline.
Strong interpersonal and organizational skills.
Proficiency with EHR systems and documentation standards.
Knowledge of community health resources and behavioral health systems.

Nice To Haves

Two or more years of experience in behavioral health or case management, ideally within an integrated or CCBHC environment; training may be provided to new graduates.

Responsibilities

Facilitate linkage between behavioral health, medical, and social service providers in alignment with agency policies on service coordination.
Ensure timely referrals, follow-up appointments, and feedback loops among treatment team members and external agencies.
Maintain comprehensive and up-to-date treatment plans and progress documentation.
Advocate for individuals’ needs, preferences, and goals in care decisions.
Engage families and support systems as permitted and ensure informed participation in care planning.
Coordinate across therapists, nursing, psychiatry, peer support, and case management to ensure service delivery.
Support warm handoffs between CCBHC services, including crisis, outpatient, MAT, and community programs.
Establish and maintain collaborative relationships with local healthcare providers, community agencies, and referral sources.
Assist in identifying community resources and addressing service gaps.
Uphold CARF and CCBHC standards and ensure linking and coordination procedures are documented and compliant with organizational policies.
Participate in CQI initiatives and audits related to coordination and service linkage.
Ensure compliance with federal, state, and local regulations and RiverValley’s mission, policies, procedures, and standards.
Complete mandatory compliance, HIPAA, and state and federal regulatory training as required.
Maintain appropriate confidentiality.