Behavioral Health Integrated Care Coordinator Adult

Job Summary:

The Behavioral Health Integration Coordinator (Adult) will manage a dynamic case load and serve as a hub for the collaborative delivery of mental health, primary care as well as specialty care services within the Strong Futures Program. The Behavioral Health Integration Coordinator will be a link for patients transitioning from inpatient acute care, into a continuum of care services that support their on-going recovery goals and objectives. They will ensure patients and families have access to an array of community resources as well a transitional plan within 6 months of their treatment initiation. Within the Behavioral Health Home Program, the coordinator will work closely with patients in the community, ensuring a delivery of care that addresses all aspects of physical and mental health.   

Essential Duties and Responsibilities

• Supports and promotes the mission and values of Covenant Health Ministry.

• Works with the inpatient team helping to identify patients needing referral to the Strong Futures services.

• Attends treatment team meetings.

• Helps to ensure a seamless transition of care from the inpatient care team to Strong Futures by helping arrange and /or scheduling appointments. 

• Supports and educates patients and families regarding transitional supports as well as community, helping remove access barriers to medical, dental, food-SNAP, childcare or other needs as identified.   

• Collaborates and communicates with patients’ community case manager while in the Strong Futures Program.

• Assist patients/ families with Medicaid requirements and coverage renewals.

• Contacts community resources routinely to establish availability and referral capacity.

• Communicates professionally with referral sources and returns phone calls promptly.

• Collect patient’s medical and behavioral history for presentation to the referral following HIPPA guidelines and system policies.  

• Attends patient appointments with medical and behavioral clinician as needed.

• Works with the unit teacher, social worker and school systems to help patients with re-entry attending IEP/ 504 plans as needed. 

• When necessary, documents an individualized plan for each patient, listing goals and outcomes. May document on inpatients as well as patients receiving services in the Strong Futures program.

• Reviews this treatment plan with the patient and family.

• Documents progress towards the plan objectives

• Documents contact with providers, patient and family.

• Manages a dynamic case load ensuring that patients are actively participating in care.   

• Communicates regularly with clinical supervisor regarding individual patient progress or treatment issues.

• Attends and participates in individual and team meetings with clinical supervisor. Informs clinical supervisor of any conflicts of interest, client crises, or other situations that require further review/ assessment.

• Demonstrates ability to be open and willing to receive constructive feedback regarding client care.

• Attends and actively engages in program meetings.

• If needed helps follows up with families after a missed appointment. 

• Maintains all required competencies and completes annual compliance courses on time.

• Supporting student learning is a shared responsibility. Every team member is expected to

contribute to creating a welcoming environment and to actively assist students in their

educational experience, regardless of their specific role.

• Participates in community outreach activities.

• Partners with unit staff/ and Strong Futures care providers, to do school and community marketing visits.

• Other duties as consistent with this role.

Job Requirements

Job Knowledge and Skills

• Must be able to speak clearly, read, write, and comprehend the English language.
• Supportive team player who is also able to work independently.
• Ability to work well fast-paced environments.
• Excellent communication skills
• Can do, solutions-driven thinker.
• Technically adapt to working with electronic health records.
• Crisis Prevention Institute (CPI) training preferred or obtained before completion of
• orientation.

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values:

•Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

•Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

•Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

•Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).

Comp Range:

Rate of pay displayed reflects the beginning of the pay scale.  At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.