Behavioral Health Specialist 2

Description

Job Description: Responsible for HEDIS gap closures related to mental illness and substance abuse

episodes associated with inpatient or emergency room visits.

ROLES AND RESPONSIBILITIES

• Conduct 7-day and 30-day Follow-up After Hospitalization For Mental Illness {FUH) assessments for adults and children 6 years of age and older, who were hospitalized for treatment of selected mental illness diagnoses or intentional self-harm diagnoses.
• Conduct 7-day and 30-day Follow-Up After Emergency Department Visit for Mental Illness {FUM)assessments for adults and children 6 years of age and older, after emergency department visit with a principal diagnosis of mental illness or intentional self-harm.
• Conduct 7-day and 30-day Follow-Up After Emergency Department Visit for Substance Use {FUA)assessments for adults and children13 years of age and older, after emergency department visit with a principal diagnosis of substance use disorder {SUD), or any diagnosis of drug overdose.
• Conduct CBH mental health assessments for members ages from 6 to 99, who were assessed by mobile crisis or SASS and deflected from inpatient mental health and substance abuse treatment.
• Provide psychoeducation to health plan members dealing with challenges like addiction, physical limitations, and mental illness.
• Satisfy all BHS metrics for telephone-based outreaches.
• Complete accurate documentation of all assistance provided to Health Plan Members.
• Interact with staff and members to optimize workflow efficiency.
• Properly execute member referral/concerns/grievances when applicable.
• Document timely member observations requiring administrative notification of any critical member issues/concerns.
• Comply with Performance Goals / Contract Deliverables.

Requirements

QUALIFICATIONS AND EDUCATION REQUIREMENTS

•  Master's degree in social work, Sociology, Psychology, or related field.

•  State Licensure of LPC or LSW.

•  Minimum of 1 year experience with social work, mental health promotion, coaching, or wellness services.

•  Minimum of 1-year mental health case manager experience.

•  Knowledge of community health and social service agencies and community resources.

•  Experience with electronic case note documentation.

•  Strong customer service skills.

•  Ability to work with others.

•  Good problem-solving skills.

PREFERRED SKILLS

•  Computer Literate - Word, Google Doc, and Excel.

•  Able to multi-task, manage time, and set priorities.

•  Able to always remain coachable and teachable.

•  Demonstrates cultural competence and sensitivity in working with diverse populations.

•  High work ethic, self-motivation, and ability to work independently as well as on a team.

•  Strong ability to write and verbally communicate in a clear, concise, and professional manner.

•  Able to set and manage multiple priorities to meet deadlines with minimal supervision.

•  Bilingual.