Job Description

Job Title: Behavioral Health Coach, Health Plan
Job ID: 740380
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: Evolent Admin
Location: 600 Grant St, Pittsburgh PA 15219


Are you a licensed professional with at least five years of experience in behavioral health clinical, care coordination, coaching, and/or case management? If so, UPMC may have the perfect fit for you!



UPMC is hiring a full-time Behavioral Health Coach to support the Evolent Administration department within the Health Plan. This will be a Monday through Friday daylight role (9:00 a.m. – 5:00 p.m. / a flexible schedule is also available) and will be based out of downtown Pittsburgh, PA. This is a telephonic position that offers work-from-home privileges after successful completion of on-site training (privilege eligibility is subject to continued achievement of business goals). 


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.



  • 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.



  • 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 / hour

Union Position: No

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