Behavioral Health Specialist 1

• Job Title: Behavioral Health Specialist I
• Program: Behavioral Health Services
• Department: Health Management Services
• Direct Report: Behavioral Health Services Manager
• Location: On-Site/Remote (where authorized)
• Position Type: Full-Time
• Functional Groups All Employees, General Users
• Classifications Behavioral Health Specialist 1

Job Description

Responsible for Responsible for HEDIS gap closures related to mental illness and substance abuse episodes associated with inpatient or emergency room visit.

Roles and Responsibilities

Under the direct supervision the BHS Manager, conduct 7-day and 30-day post discharge mental health 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.

Under the direct supervision the BHS Manager, conduct 7-day and 30-day mental health 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 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.

• Assist Health Plan Members with coordinating healthcare appointments to mental health, primary care providers.
• Provide appointment reminder calls to Health Plan Members.
• Educate Health Plan Members about community resources for managing their overall health.
• Link Health Plan Members to needed community and social services support.
• Complete accurate documentation of all assistance provided to Health Plan Members.
• Properly execute Health Plan Member referrals/concerns/grievances when applicable.
• Provide timely administrative notification of any critical Health Plan Member issues/concerns.
• Interact with staff and members to optimize workflow efficiency.
• Compliant with Performance Goals / Contract Deliverables.
• Help promote a company culture that encourages top performance and high morale.
• Follow all Policies and Procedures of SCCP.
• Participate in all SCCP mandatory and CMS regulatory training.
• Attend all staff meetings – in person or via telephone (if unable to attend, responsible for knowledge of content).
• Develop a comprehensive understanding of SCCP information security policies.
• Abide by all SCCP information security policies, procedures, protocols, and practices.
• Abide by principles and laws related to confidentiality.
• Report information security risks when they are identified.
• Participate in regular information security management trainings.
• Develop a comprehensive understanding of SCCP information security policies.
• Abide by principles and laws related to confidentiality.
• Demonstrate respect for individual diversity (culture, ethnicity, gender, race, religion, age, economic status).
• Engage in continuing education and training for professional growth and development.
• Other duties as assigned by Direct Report.

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.