Job Description

Job Title: Behavioral Health Coach (LPC, LCSW, LSW, RN) - Health Plan
Job ID: 180000PP
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Health Management
Location: 600 Grant St, Pittsburgh PA 15219

Description

Do you currently have at least five years of experience in behavioral health clinical, care coordination, coaching, and/or case management? Are you passionate about delivering motivational coaching to better others? If so, UPMC may have the perfect career for you!

 

 

UPMC is now hiring a full-time Behavioral Health Coach to support UPMC Health Plan. This is a Monday through Friday daylight role with some evening hours. This position is located in downtown Pittsburgh.

 

 

Combined experience in mental health and substance use is preferred.

 

 

The Behavioral Health Coach ensures continuity and coordination of care for Health Plan members with behavioral health illnesses and complex behavioral health needs. The Behavioral Health Coach delivers coaching programs to members to increase understanding of member’s behavioral health condition, enhance the partnership with their physician, and improve their overall health and self-management skills.

 

 

Responsibilities:

  • Competently employs motivational strategies that encourage individuals to explore motivation for change, enhance readiness, and develop competence in the use of behavior change skills.

  • Completes Annual Competencies including Ethics and Compliance, HIPAA, Safety, Fraud and Abuse and Confidentiality/Privacy and Security Awareness.

  • Completes timely and accurate documentation in the clinical record including case notes, assessments, problems, goals and interventions.

  • Develops and coordinates an individualized care plan with the member, member’s family, and/or providers. Provides case management services to address barriers to care.

  • Identifies and reports any clinical, utilization, provider or outcomes issues to supervisor and offers recommendations for improvement.

  • Interfaces with and refers members to community based resources and other supportive services as appropriate.

  • Monitors and evaluates the effectiveness of care plans. Identifies gaps in service and makes recommendations for changes when indicated to provide the most clinically appropriate services.

  • Performs care coordination for Health Plan members including consultation with health plan colleagues, participation in inter-disciplinary team meetings, and collaboration with providers. Coordination also entails assistance with transitions in care, discharge planning, and review of benefit coverage and resolution of other barriers to resources.

  • Performs duties and responsibilities in accordance with the philosophy and standards of UPMC Health Plan, including conveying courtesy, respect, enthusiasm, and a positive attitude through contacts with staff, health plan members, peers, and external contacts.

  • Preserves confidentiality of the member.

  • Provides coaching in behavioral health programs such as depression, anxiety, substance use, and ADHD. Other health and wellness programs may include customized programs (e.g. MyHealth Selections), one-time or on-the-spot interventions (e.g. Coach on Call) or support and coaching related to online programs (e.g. Beating the Blues.)

  • Provides members, providers, and other stakeholders with information concerning benefits and coverage, and provides accurate information to members and families. Receives and responds to complex calls regarding requests for services or resolution of complex issues.

  • Provides reports on case management cases or coaching activities as requested.

  • Reviews member health information and readiness to change and triages members to the appropriate health intervention.

  • Utilizes independent problem solving and demonstrates ability to propose and implement creative solutions to member problems in order to achieve a high level of member satisfaction with services.

Qualifications

  • Masters degree in human service field and BH licensure required
  • OR Licensed Pennsylvania RN with behavioral health clinical experience required (plus Bachelors in Nursing preferred)
  • Five years of experience in behavioral health clinical, care coordination, coaching, and/or case management required.
  • Experience in managed care environment preferred.
  • General knowledge of best practices in behavioral health.
  • Proficient in utilizing member engagement strategies such as motivational interviewing.
  • Ability to proficiently interact with provider systems, physicians and other health care professionals is required.
  • Computer proficiency required.
  • Experience with Microsoft Office preferred.
  • Excellent verbal and written communication and interpersonal skills required.
  • Knowledge of community resources required.

Licensure, Certifications, and Clearances:
PA Licensure (as indicated above) Case Manager or other relevant certification preferred Licensure in other states as assigned

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $22.60 to $39.11

Union Position: non-union

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



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