Behavioral Health Specialist 2

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.

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.