Job Description

Job Title: CHC Behavioral Health Coordinator
Job ID: 619939
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day
Facility:
Department: Comm HlthChoice_Clin_Op
Location: 600 Grant St, Us Steel Tower Pittsburgh 15219

Description

The Behavioral Health Coordinator is responsible for ensuring integration and coordination of activities between the CHC-MLTSS (Community Health Choices - Managed Long Term Support Services), BH-MCOs (Behavioral Health Managed Care Organizations) and, Behavioral health providers. This person will represent UPMC in interactions with BH-MCOs to coordinate services across the continuum of care through a community-based approach to improve health outcomes of members served.

Responsibilities:
  • Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery to provide members with seamless coordination between physical, behavioral and support services.
  • Assists members in identifying and choosing willing and qualified providers.
  • Be knowledgeable of the BH Managed Care Agreement requirements and coordinate with the BH-MCO to effectuate the requirements
  • Collaborates with BH-MCOs to facilitate delivery of CHC-MCO covered behavioral health services to eligible members.
  • Coordinate Participant care needs with BH Providers.
  • Coordinate behavioral care with medically necessary services.
  • Determines and develops processes needed to ensure integration and efficiency between CHC and BH-MCOs.
  • Develop processes to coordinate behavioral healthcare between PCPs and BH Providers.
  • Ensures members have access to any needed behavioral health services.
  • Participate in the identification of best practices for BH in a primary care setting.
  • Serves as a liaison for CHC MCO integration and BH-MCO collaborative issues and efforts.

Qualifications

  • Bachelors degree in Social Work, Psychology or other health related fields 
  • 3-5 years of experience in behavioral health Behavioral health managed care experience 
  • Cultural competency and the ability to provide informed advocacy 
  • Ability to interact with physicians and other health care professionals in a professional manner required 
  • Experience working with people with disabilities or seniors in need of LTSS preferred 
  • Knowledge of the home and community-based service system and how to access and arrange for services preferred

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $15.76 to $25.02

Union Position: No

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