Community Based Care Coordinator I-BH/SUD – R2435

CareSource

Columbus, OH

This job has been expired

Job Summary

The Community Based Care Coordinator I – BH/SUD is the member concierge and is the single point of contact for assessment, person centered planning, service coordination (funded or unfunded), disease management, utilization management and transitions between all levels of care.

Essential Functions

  • Understand and implement Person-Centered Thinking
  • Facilitate the Person-Centered planning process
  • Participate in person-centered care training in order to maximize the development of the Person-Centered plan
  • Coordinate services and health benefits for members who meet criteria
  • Consult with members, families and legally responsible people to discuss behavioral and physical health care needs
  • Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered plans
  • Ongoing communication with the internal complex clinical team
  • Educate members about their condition, medication and assist with any necessary instruction
  • Monitor service delivery to ensure appropriateness of care and compliance with waiver
  • Assist Providers with technical questions regarding process
  • Complete psychosocial health care questionnaires and behavioral assessments by gathering information from the member, family, provider and other stakeholders
  • Monitor and evaluate Person-Centered care plan on an ongoing basis through member, family, provider and stakeholder contact by modifying the plan as needed based on member choice
  • Assist with internal care coordination activities to support member outcomes
  • Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record according to current accreditation and compliance guidelines
  • Participate in meetings with providers to inform them of services and benefits available to members
  • Engage members through participating in information collection and assertive outreach, including home visits and telephone calls
  • Assist in education of member/caregiver regarding healthcare access and benefits, and provide member/caregiver with health education and wellness materials
  • Precept and/or mentor new staff
  • Regular travel to conduct member visits, provider visits and community-based visits as needed to ensure effective administration of the program
  • Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation
  • Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process
  • Perform any other job duties as requested

Education And Experience

  • Bachelor’s degree in a healthcare related field is preferred
  • Must be considered a Qualified Behavioral Health Professional (QBHP)
  • A minimum of three (3) years of experience in the behavioral healthcare field (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required

Competencies, Knowledge And Skills

  • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
  • Ability to communicate effectively with a diverse group of individuals
  • Ability to multi-task and work independently within a team environment
  • Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
  • Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
  • Strong advocate for members at all levels of care
  • Strong understanding and respect of all cultures and demographic diversity
  • Ability to interpret and implement current research findings
  • Awareness of community & state support resources
  • Critical listening and thinking skills
  • Decision making and problem-solving skills
  • Strong organizational and time management skills
  • Trauma informed training

Licensure And Certification

  • Must have valid driver’s license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
  • Employment in this position is conditional pending successful clearance of a criminal background check. Results of the criminal background check may necessitate an offer of employment being withdrawn or, if employee has started in position, termination of employment.
  • To help protect our members and the communities we serve from acquiring communicable diseases, evidence of immunity to Influenza is required for this role. CareSource will provide the Influenza vaccination to required employees annually during Influenza season (October 1 – March 31) as a condition of continued employment in this position. Employees hired during Influenza season will have forty-five (45) days from their hire date to complete the required vaccination. Any exceptions to this requirement must be reviewed and approved by a member of the Employee Health team.
  • Certified in Person-Centered Thinking is preferred

Working Conditions

  • This is a mobile position, meaning that regular travel to different work locations, including homes, offices, or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
  • Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
  • May be required to travel greater than 50% of time to perform work duties.
  • Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
  • Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members