"Alerted.org

Job Title: Behavioral Health Care CoordinatorJob Description

The Behavioral Health Care Coordinator plays a pivotal role as a core member of the collaborative care team, working alongside the enrollee’s medical provider, mental health team, and the larger Concierge Care Coordination team. This position is responsible for coordinating and supporting the mental and physical health care of enrollees within an assigned behavioral health population caseload. The coordinator collaborates with medical providers and, when appropriate, other mental health providers, to manage care for all lines of business, including managed care contract programs that serve adults and children with severe mental illness (SMI).

Responsibilities

+ Lead a multidisciplinary team to identify high-risk clients, address care gaps, and collaborate with providers to enhance patient outcomes and care quality.

+ Manage services for medical, behavioral, and substance use needs, including crisis intervention, discharge planning, and complex case management.

+ Engage with Medical Directors and care management staff to direct appropriate utilization and data capture.

+ Educate members, providers, and team members on care coordination services, including reducing inappropriate admissions and placements.

+ Manage care coordination for enrollees requiring medical and behavioral health services, including crisis intervention, behavioral health triage, and the coordination of psychiatric and substance use disorder services.

+ Conduct thorough needs assessments, including risk stratification, to determine health, psychological, educational, and social needs.

+ Review the daily census for enrollees admitted to the hospital, assess the need for ongoing care coordination, and facilitate discharge planning.

+ Conduct outreach to enrollees with patterns of emergency room visits to identify contributing factors and develop strategies to reduce avoidable admissions.

+ Conduct comprehensive needs assessments and develop individualized care plans in collaboration with physicians and enrollees.

+ Participate in team huddles and multidisciplinary team conferences to review strategies and develop action plans for quality care.

+ Identify and assess barriers when members do not meet treatment goals, and update member care plans as changes occur.

+ Provide education on disease processes, healthy lifestyle changes, and self-management strategies.

+ Deliver brief behavioral interventions using evidence-based techniques such as motivational interviewing and problem-solving treatment.

+ Conduct in-home assessments as needed to evaluate the member’s home environment for safety and the availability of needed supplies.

+ Monitor resource utilization to promote optimal use consistent with organizational goals.

+ Maintain accurate documentation in compliance with quality standards and accreditation requirements for care management programs.

+ Serve as a liaison between members, providers, medical directors, and external organizations to coordinate care and resolve authorization issues.

Essential Skills

+ Bachelor’s Degree in social work and/or Nursing.

+ Clinical Experience: 3-5 years of clinical experience.

+ Experience in Managed Care/Health Plan Setting: 3-5 years of experience in a managed care, health plan, or insurance setting.

+ Experience with Utilization Management and Care Coordination.

+ Knowledge of Medicaid/Medicare Regulations.

+ Knowledge of Microsoft Office and internet software.

Additional Skills & Qualifications

+ Master’s Degree in social work (MSW) or Nursing (Preferred).

+ Psychiatric/Mental Health Nursing Certification (Preferred).

+ Registered Nurse licensure in the state of Florida, or State Licensure in Social Work or related field (Preferred).

+ Certified Case Manager (Preferred).

+ License Clinical Social Work (LCSW), Licensed Mental Health Counselor (LMHC) – (A Plus).

+ Psychiatric- Mental Health Nursing Certification (A Plus).

+ Certified Addictions Registered Nurse (CARN) (A Plus).

+ Knowledge of EPIC (preferred).

Work Environment

This role allows flexibility with the option to work from home, requiring one day in the office, either on Tuesday or Thursday. When working remotely, candidates must have a private space with a closed door to ensure the confidentiality of members' private health matters. Necessary equipment will be provided.

Pay and Benefits

The pay range for this position is $38.00 - $38.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Sunrise,FL.

Application Deadline

This position is anticipated to close on Jun 11, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [email protected] (%[email protected]) for other accommodation options.