Behavioral Health Specialist 1

Description

Job Title : Behavioral Health Specialist I

Program: Behavioral Health Services

Department: Health Management Services

Direct Report: Behavioral Health Services Manager

Location: On-Site/Remote (where authorized)

Position Type: Full-Time

Functional Groups All Employees, General Users

Classifications Behavioral Health Specialist 1

Job Description: Responsible for Responsible for HEDIS gap closures related to mental illness and substance abuse episodes associated with inpatient or emergency room visit.

ROLES AND RESPONSIBILITIES

• Under the direct supervision the BHS Manager, conduct 7-day and 30-day post discharge mental health assessments for adults and children 6 years of age and older, who were hospitalized for treatment of selected mental illness diagnoses or intentional self-harm diagnoses.
• Under the direct supervision the BHS Manager, conduct 7-day and 30-day mental health assessments for adults and children 6 years of age and older, after emergency department visit with a principal diagnosis of mental illness or intentional self-harm.
• Conduct mental health assessments for members ages from 6 to 99, who were assessed by mobile crisis or SASS and deflected from inpatient mental health and substance abuse treatment.
• Assist Health Plan Members with coordinating healthcare appointments to mental health, primary care providers.
• Provide appointment reminder calls to Health Plan Members.
• Educate Health Plan Members about community resources for managing their overall health.
• Link Health Plan Members to needed community and social services support.
• Complete accurate documentation of all assistance provided to Health Plan Members.
• Properly execute Health Plan Member referrals/concerns/grievances when applicable.
• Provide timely administrative notification of any critical Health Plan Member issues/concerns.
• Interact with staff and members to optimize workflow efficiency.
• Compliant with Performance Goals / Contract Deliverables.
• Help promote a company culture that encourages top performance and high morale.
• Follow all Policies and Procedures of SCCP.
• Participate in all SCCP mandatory and CMS regulatory training.
• Attend all staff meetings – in person or via telephone (if unable to attend, responsible for knowledge of content).
• Develop a comprehensive understanding of SCCP information security policies.
• Abide by all SCCP information security policies, procedures, protocols, and practices.
• Abide by principles and laws related to confidentiality.
• Report information security risks when they are identified.
• Participate in regular information security management trainings.
• Develop a comprehensive understanding of SCCP information security policies.
• Abide by principles and laws related to confidentiality.
• Demonstrate respect for individual diversity (culture, ethnicity, gender, race, religion, age, economic status).
• Engage in continuing education and training for professional growth and development.
• Other duties as assigned by Direct Report.

Requirements

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• Master’s degree in social work, Sociology, Psychology, or related field.
• State Licensure of LPC or LSW.
• Minimum of 1 year experience with social work, mental health promotion, coaching, or wellness services.
• Minimum of 1-year mental health case manager experience.
• Knowledge of community health and social service agencies and community resources.
• Experience with electronic case note documentation.
• Strong customer service skills.
• Ability to work with others.
• Good problem-solving skills.

PREFERRED SKILLS

• Computer Literate – Word, Google Doc, and Excel.
• Able to multi-task, manage time, and set priorities.
• Able to always remain coachable and teachable.
• Demonstrates cultural competence and sensitivity in working with diverse populations.
• High work ethic, self-motivation, and ability to work independently as well as on a team.
• Strong ability to write and verbally communicate in a clear, concise, and professional manner.
• Able to set and manage multiple priorities to meet deadlines with minimal supervision.
• Bilingual.