IHH Care Coordinator / BHC - ACCESS Sinai
About The Position
The Behavioral Health Consultant (BHC), at 0.60 FTE, is part of a multidisciplinary primary health care team. BHCs provide behavioral health consultation and treatment to children, adolescents, and adults to improve psychosocial functioning and overall health outcomes. The Integrated Health Home (IHH) Program Care Coordinator, a Licensed Social Worker at 0.40 FTE, provides care coordination, education, social support, and outreach to help patients navigate health care transitions and support patient empowerment through health education, advocacy, and coaching. This position requires demonstrated experience with Serious Mental Illness (SMI) and provides care coordination guided by the Triple Aim: improving the patient experience, improving population health, and lowering health care costs. The role primarily serves patients with SMI. The work takes place in a normal office environment regularly and at health centers occasionally. Local travel between clinical and health centers, hospitals, and community sites is required. Remote or hybrid work requires a secure work environment and reliable high-speed internet. The position involves sitting and working at a computer for up to four hours and lifting up to 10 pounds. A computer or laptop, phone, fax, copier, and scanner are used. Depending on the position applied for or recruited for, candidates may be required to provide vaccination documentation or apply for a religious or medical exemption. Compensation varies based on experience, education, market conditions, and available grant funding.
Requirements
- Master’s degree.
- Current unrestricted Illinois licensure as an LCPC, LCSW, or LMFT.
- Three to five years of experience in a clinical setting.
- Excellent working knowledge of evidence-based mental health and behavioral interventions.
- Intermediate proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.
- Valid driver’s license and proof of insurance when using a personal vehicle.
- For remote or hybrid work, a secure remote work environment and reliable high-speed internet connection.
- Ability to sit and work at a computer for up to four hours and lift up to 10 pounds.
Nice To Haves
- Previous care coordination experience.
- Proficiency in an Electronic Health Record (EHR); EPIC preferred.
Responsibilities
- Oversee the intake process, maintain care plans, and promote health programs and services.
- Use information systems to contact, educate, engage, and track patients based on disease risk, self-management, and family or community needs.
- Assist patients and providers with transitions between outpatient and inpatient settings and ensure follow-up after emergencies, hospitalizations, and specialist visits.
- Provide resources that support patient and family self-management, assess readiness to learn, and validate learning outcomes.
- Engage patients and families in care decisions, encourage questions and concerns, and recognize their expertise through coaching and counseling.
- Conduct screenings, assessments, and diagnoses of mental health conditions while identifying barriers to optimal physical health.
- Assess crises and implement appropriate interventions to support patient well-being.
- Identify at-risk patients and develop plans to prevent further psychological or physical deterioration.
- Deliver brief, focused interventions for mental and behavioral health concerns.
- Participate in meetings that support the integrated health care model and comprehensive patient care.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
