Behavioral Health Care Coordinator

The Behavioral Health Care Coordinator will conduct outreach and perform assessments for Northwest Colorado residents, including those enrolled in Medicaid and Medicare throughout RAE 1 and the Yampa Valley. They will be the primary point of contact for residents with complex medical/behavioral needs.

Care coordination activities will focus on supporting members’ medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

This position will serve as a liaison between clients and healthcare providers, including specialty providers and human service organizations to reduce barriers to care and assure clients receive the care they need when they need it. The Behavioral Health Care Coordinator is a member of the Care Coordination team and works with clients to identify barriers to care and develop a comprehensive goal-oriented care plan.

The Successful Candidate Will Exhibit the Following

• Culture Champion – Commitment to the Partnership’s mission and working with diverse partners.
• Results Producer – A results-focused orientation with a proven track record of exceeding goals.
• Agility – Ability to think strategically, foresee opportunities and challenges and adapt as needed.
• Strong Communicator – Excellent written and oral communication skills.
• Organization – Exceptional capacity to manage details, monitor progress, and adjust accordingly.
• Action Oriented – Enjoys working hard, tackling challenges and is not afraid to take ownership of a situation.

Supervision Received: The Behavioral Health Care Coordinator is based out of the Steamboat office and supervised by the Care Coordination Program Manager.

Supervision Exercised: none

Key Accountabilities

Conduct outreach and provide assessment of RAE 1, Routt, Moffat, and Rio Blanco County residents.

Educate and work with clients to develop a comprehensive, goal-oriented care plan, to ensure that clients are connected to resources and community partners are identified in their care plan.

Collaborate with Care Coordination Program Manager and other Care Coordinators to ensure all program deliverables are achieved, and program evaluations are conducted.

Assess and document effectiveness of care plans and share with supervisor.

Build community engagement and partner relationships that expand referral opportunities and strengthen access to services.

Job Responsibilities

• Conduct outreach and provide assessment of RAE 1, Routt, Moffat, and Rio Blanco County residents.
• Provide a variety of indirect and direct care coordination to clients identified as in need of services. This includes:
• Form trusting collaborative relationships with clients and partner organizations.
• Schedule and complete assessments, follow-up as needed, track results, referrals and recommendations in database.
• Meet with clients in public spaces or place of residence when appropriate to the clients’ needs.
• Track and monitor referrals of clients for reporting as requested.

Accurately document interactions in data systems to include client visits, needed services, phone calls, written correspondence and communication in appropriate computer systems within 2 business days.

Work closely with partner organizations such as Horizons, Lift Up, Department of Human Services, and other members of the Navigation Network to complete care plans.

Ability to connect with diverse client population, empathize, show compassion, perform assessments and develop a self-management plan in partnership with client and possibly other community partner agencies.

Coordinate care with providers, community partners and other patient navigators to provide outreach, referrals and support for clients.

Complete intakes of high-risk patients, working in partnership with patient, family and other members of the healthcare team as needed to assess and prioritize patient’s physical needs, mental well-being, family support system, financial resources and available community and government resources.

Educate and work with clients to develop a comprehensive, goal-oriented care plan, to ensure that clients are connected to resources and community partners identified in their care plan.

Co-create patient specific goals, objectives and measures that meet the patient’s needs and that have been identified through assessment.

Collaborates with other Care Coordinators and internal teams to ensure all program deliverables are being met and advise supervisor of any needs for meeting deliverables such as monthly reporting, referrals, interventions, assessments, etc.

Collaborate with Care Coordination Program Manager and other Care Coordinators to ensure all program deliverables are achieved, and program evaluations are conducted.

• Participate in regular staff meetings.
• Performs assigned work safely, adhering to organization and program established safety rules and practices.
• Follow workflows, maintain current documentation, and support program audits.
• Conduct program evaluation tools within program requirements.
• Build community engagement and partner relationships that expand referral opportunities and strengthen access to services.
• Attend community meetings and events to engage potential clients and build awareness of the program.
• Build and strengthen community partnerships through 1:1 connections and ongoing check-ins.
• Be responsive to and conduct warm hand-offs with partner organizations.

General Requirements & Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• 2+ years of Behavioral Health Experience.
• 1+ years of experience with Microsoft Office, including Word, Excel, Teams, and Outlook.

Reliable transportation and the ability to travel within Colorado, primarily throughout Routt, Moffat, and Rio Blanco counties, to meet with members and providers.

Working with clients, clinical practices, community social service providers, complex medical patients and knowledge of health service delivery preferred.

Ability to communicate effectively with diverse audiences including clients, community members, professional partners, funders, and government agencies.

• High level of organizational skills with a focus on problem solving, detail oriented, and follow-through.
• Active listening, motivational interviewing techniques, and the ability to support clients during intense emotional periods.
• Perform all other duties as assigned.
• 1+ years of community case management experience coordinating care for individuals with complex needs.
• Experience working in team-based care.
• Background in Managed Care.
• Health or Human Services experience preferred.
• Share unique skills and expertise with NCCHP team.
• Engage in cross-organization efforts, connecting project work to the broader organization.
• Support non-clinical community care team.
• Commitment to inclusiveness, social justice, health equity, and reduction of health disparity.
• Identifying and using data for data informed decision making and enhancing collaborative work.
• High tolerance for ambiguity and ability to problem solve and appropriate course of action.

Must provide proof of a valid driver’s license and adequate insurance coverage totaling at least $300,000 per occurrence.

Working Conditions

• Up to 10% travel required Flexible work schedule, with the opportunity to work remotely.
• Work location for administrative activity is in an accessible office environment.
• Daily activity is 80% sitting or standing with extended periods of typing at a keyboard, 20% walking with occasional stooping, bending, reaching, twisting.
• Office equipment would include phone, computer, printer, and copier on a daily basis.
• Independent travel throughout the region, with occasional travel during inclement weather as conditions allow.

Compensation

This is a salaried, non-exempt position, compensated on a salary basis and eligible for overtime pay for all hours worked over 40 in a workweek, in accordance with applicable state and federal laws.

$56,650-$59,000 per year.

Why Join The Health Partnership?

• Meaningful, community-centered work that directly impacts local residents.
• Collaborative and mission-driven team environment.
• Opportunity to improve access to care and health equity across Northwest Colorado.
• Flexible, relationship-focused work environment.
• Inclusive and supportive workplace culture.

Our Vision

The Health Partnership is a trusted leader and community partner in helping all in the Yampa Valley have equitable access to health and well-being resources.

Our Misson

To compassionately connect people to health and well-being resources so they thrive.

Our Welcoming Work Culture

The Health Partnership is proud to be a neurodivergent, LGBTQ+, and culturally inclusive organization. We are committed to creating a welcoming and supportive environment for people of all abilities, races, ethnicities, genders, sexual orientations, and socioeconomic backgrounds.