Behavioral Health Access Guide

Overview

To coordinate medically necessary behavioral health treatment services for adults and childrenwith behavioral health needs. Screens, collaborates and coordinates care as part of themultidisciplinary team to evaluate and advocate for the medical, behavioral and psychosocialneeds of the member while promoting quality outcomes.

Responsibilities

 

▪Assists with a specialized case load of members with behavioral health needs whichinterfere with positive healthcare outcomes.▪ Collaborates and consults with care providers, members, and/or the multidisciplinarycare team to assist in understanding the member’s behavioral health needs.▪ Acts as a support/resource to others within the organization for behavioral health cases.▪ Receives phone calls from members seeking behavioral health services.▪ Screens members using proscribed screening tools and directs members to appropriateproviders.▪ Knowledge of and ability to coordinate with multiple systems of care including countybased behavioral health services.▪ Functions collaboratively in a team environment.▪ Utilizes best practices in coordination of behavioral health services in accordance withestablished guidelines associated with access line workflows.▪ Coordinates with medical providers, psychiatrists, drug and alcohol counselors, casemanagers, and other support staff to ensure continuum of care.▪ Performs screenings to assist in coordinating behavioral health services.▪ Maintains accurate and timely documentation, records, and case files in the PartnershipHealthPlan of Californica (Partnership) Case Management System for members inbehavioral health access line management system.▪ Develops and maintains knowledge of a community based network of alternative modesof care. Aids member to connect with community-based organizations to support andenhance wellness.▪ Communicates clearly and effectively through all mediums of communication withmembers, providers, vendors, community partners, and Partnership employees.▪ Supports successful transition of care for members discharged from a residential settingtransitioning to a lower level of care within the community, to include assessing memberneeds and identifying appropriate staff to carry out identified needs, effective andfrequent communication with providers, members, county partners and identified healthcare designee.▪ Performs other duties as assigned including the assumption of new duties. 

 

Qualifications

 

Education and Experience

High school diploma or equivalent combination of education andexperience required; associates or bachelors degree preferred. Two (2)years of experience in the delivery of care and services that addressbehavioral health needs of individuals from diverse populations.Demonstrated skill in using evidence-based principles, methods andtechniques to address mental health and substance use disorders acrossmultiple care settings.  

 

 

Special Skills, Licenses and Certifications

Ability to actively listen, engage members who may be having activebehavioral health challenges by using motivational interviewingtechniques. Considerable knowledge of prevention, treatment andrehabilitation techniques used in the identification and treatment ofmental illness and emotional disorders. Federal, state and local laws,rules and regulations associated with mental health treatment andeducation programs. Understanding of the treatment of mental illnessand substance use disorders Valid California driver’s license and proofof current automobile insurance compliant with Partnership policy arerequired to operate a vehicle and travel for company business. Bilingualskills in an approved threshold language is preferred. 

 

Performance Based Competencies

Strong organizational, communication, attention to detail and criticallythinking skills required. Ability to work within an interdisciplinarystructure and function independently in a fast-paced environment whilemanaging multiple priorities and meeting deadlines. Ability to workacross systems of care and engage members and providers to coordinatecare and services. Effective telephone and computer data entry skillsrequired. Experience in managed care business practices and ability toaccess data information using computer systems. Excellent Englishwritten and verbal communication skills 

 

 

Work Environment And Physical Demands

Daily use of the telephone and computer for most of the day. Standardcubicle workstation. Must be able to lift, move, or carry objects ofvarying size, weighing up to 10lbs. 

 

 

 

All HealthPlan employees are expected to:

 

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE

 

$63,206.33 - $75,847.59

 

IMPORTANT DISCLAIMER NOTICE                                                                                                                              

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.