BH Care Coordinator
Spectraforce
Manchaug, Massachusetts
an hour ago
Job Description
Position Title: BH Care Coordinator
Work Arrangement: Remote
Duration: 3 months
Work Schedule: Rotating Schedule: 8-4:30 ,8:30-5, 9:30-6
Position Summary:
The BH Care Coordinator is an integral member of the Behavioral Health Clinical Support (BHCS) team, responsible for delivering telephonic outreach, conducting screenings, and coordinating behavioral health services and community resources for identified members. This role supports both members and providers across service areas and lines of business by facilitating access to appropriate care and promoting continuity of care.
Key Responsibilities:
• Utilize motivational interviewing techniques to engage members in care coordination via telephonic outreach.
• Educate members to enhance their understanding of behavioral health conditions, treatment options and the importance of participation in their own care, including how to access resources and navigate the healthcare system.
• Maintain up-to-date knowledge of community-based services and resources to support appropriate referrals and linkage to care based on members’ individual needs and preferences.
• Advocate for members and coordinate behavioral health and substance use disorder treatment and community resources.
• Receive and triage referrals from the department’s toll-free line, email, Population Health Management Platform, ensuring routing to the appropriate WellSense BH program.
• Receive calls transferred by other departments with or about members with behavioral health needs, including the Member and Provider Service Department.
• Coordinate and conduct telephonic screenings, arrange wellness visits, and deliver appointment and preventive care reminders, as appropriate.
• Performs post-discharge follow-up calls and completes the BH transition of care screening
• Serve as liaison between members, providers, internal departments, and external agencies to ensure timely access to services and resolution of service-related issues.
• Maintain accurate and timely documentation within the designated medical management information system (e.g. Jiva) ensuring compliance with contractual requirements, internal policy, and accreditation standards.
• Support department operations by prioritizing and organizing staff assignments, triage tasks, and following workflows and SOPs to prioritize calls.
• Provide administrative support to the BH CM team primarily, and the BH Utilization Management team as needed.
• Contribute to continuous improvement by identifying opportunities for improvement in administrative workflows and processes.
• Perform additional duties as assigned by leadership to support the overall effectiveness and quality of care coordination services.
Qualification & Experience:
• High School Diploma (with significant experience coordinating behavioral health services) or;
• Associate’s degree required in health care or a related area or;
• Bachelor’s degree in psychology, social work, or related field (preferred)
• Experience in either a high-volume customer service call center, data entry office, or health care office administration department
• Prior customer service/call center experience
• Prior work with Medicaid population preferred
• Experience coordinating behavioral health and substance use disorders treatment
• Bilingual/multilingual
• Strong motivational interviewing skills
• Ability to engage members
• Strong oral and written communication skills
• Detail oriented
• Ability to work independently but also in a team setting
• Ability to effectively collaborate with health care providers and all members of the interdisciplinary team
• Demonstrated strong organizational and time management skills
• Demonstrated ability to successfully prioritize, plan, organize and manage multiple tasks in a face-paced environment
• Intermediate skill level with Microsoft Office products – Teams, Outlook, Word, Excel, and PowerPoint
• Knowledge of medical and behavioral health terminology strongly preferred
Strongly Prefer Candidates in MA and NH. Please limit submissions to the states below:
Alabama
Arizona
Colorado
Connecticut
Florida
Georgia
Idaho
Illinois
Indiana
Kansas
Kentucky
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 28.00/hr.
Work Arrangement: Remote
Duration: 3 months
Work Schedule: Rotating Schedule: 8-4:30 ,8:30-5, 9:30-6
Position Summary:
The BH Care Coordinator is an integral member of the Behavioral Health Clinical Support (BHCS) team, responsible for delivering telephonic outreach, conducting screenings, and coordinating behavioral health services and community resources for identified members. This role supports both members and providers across service areas and lines of business by facilitating access to appropriate care and promoting continuity of care.
Key Responsibilities:
• Utilize motivational interviewing techniques to engage members in care coordination via telephonic outreach.
• Educate members to enhance their understanding of behavioral health conditions, treatment options and the importance of participation in their own care, including how to access resources and navigate the healthcare system.
• Maintain up-to-date knowledge of community-based services and resources to support appropriate referrals and linkage to care based on members’ individual needs and preferences.
• Advocate for members and coordinate behavioral health and substance use disorder treatment and community resources.
• Receive and triage referrals from the department’s toll-free line, email, Population Health Management Platform, ensuring routing to the appropriate WellSense BH program.
• Receive calls transferred by other departments with or about members with behavioral health needs, including the Member and Provider Service Department.
• Coordinate and conduct telephonic screenings, arrange wellness visits, and deliver appointment and preventive care reminders, as appropriate.
• Performs post-discharge follow-up calls and completes the BH transition of care screening
• Serve as liaison between members, providers, internal departments, and external agencies to ensure timely access to services and resolution of service-related issues.
• Maintain accurate and timely documentation within the designated medical management information system (e.g. Jiva) ensuring compliance with contractual requirements, internal policy, and accreditation standards.
• Support department operations by prioritizing and organizing staff assignments, triage tasks, and following workflows and SOPs to prioritize calls.
• Provide administrative support to the BH CM team primarily, and the BH Utilization Management team as needed.
• Contribute to continuous improvement by identifying opportunities for improvement in administrative workflows and processes.
• Perform additional duties as assigned by leadership to support the overall effectiveness and quality of care coordination services.
Qualification & Experience:
• High School Diploma (with significant experience coordinating behavioral health services) or;
• Associate’s degree required in health care or a related area or;
• Bachelor’s degree in psychology, social work, or related field (preferred)
• Experience in either a high-volume customer service call center, data entry office, or health care office administration department
• Prior customer service/call center experience
• Prior work with Medicaid population preferred
• Experience coordinating behavioral health and substance use disorders treatment
• Bilingual/multilingual
• Strong motivational interviewing skills
• Ability to engage members
• Strong oral and written communication skills
• Detail oriented
• Ability to work independently but also in a team setting
• Ability to effectively collaborate with health care providers and all members of the interdisciplinary team
• Demonstrated strong organizational and time management skills
• Demonstrated ability to successfully prioritize, plan, organize and manage multiple tasks in a face-paced environment
• Intermediate skill level with Microsoft Office products – Teams, Outlook, Word, Excel, and PowerPoint
• Knowledge of medical and behavioral health terminology strongly preferred
Strongly Prefer Candidates in MA and NH. Please limit submissions to the states below:
Alabama
Arizona
Colorado
Connecticut
Florida
Georgia
Idaho
Illinois
Indiana
Kansas
Kentucky
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Applicant Notices & Disclaimers
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 28.00/hr.