To coordinate medically necessary behavioral health treatment services for adults and children
with behavioral health needs. Screens, collaborates and coordinates care as part of the
multidisciplinary team to evaluate and advocate for the medical, behavioral and psychosocial
needs of the member while promoting quality outcomes.
▪ Assists with a specialized case load of members with behavioral health needs which
interfere with positive healthcare outcomes.
▪ Collaborates and consults with care providers, members, and/or the multidisciplinary
care 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 appropriate
providers.
▪ 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 with
established guidelines associated with access line workflows.
▪ Coordinates with medical providers, psychiatrists, drug and alcohol counselors, case
managers, 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 Partnership
HealthPlan of Californica (Partnership) Case Management System for members in
behavioral health access line management system.
▪ Develops and maintains knowledge of a community based network of alternative modes
of care. Aids member to connect with community-based organizations to support and
enhance wellness.
▪ Communicates clearly and effectively through all mediums of communication with
members, providers, vendors, community partners, and Partnership employees.
▪ Supports successful transition of care for members discharged from a residential setting
transitioning to a lower level of care within the community, to include assessing member
needs and identifying appropriate staff to carry out identified needs, effective and
frequent communication with providers, members, county partners and identified health
care designee.
▪ Performs other duties as assigned including the assumption of new duties.
Education and Experience | High school diploma or equivalent combination of education and
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Special Skills, Licenses and Certifications | Ability to actively listen, engage members who may be having active
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Performance Based Competencies | Strong organizational, communication, attention to detail and critically
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Work Environment And Physical Demands | Daily use of the telephone and computer for most of the day. Standard
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All HealthPlan employees are expected to:
HIRING RANGE
$30.38 - $36.46
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.
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