Overview:
About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
Brief summary of purpose:
The role of the Behavioral Health Care Coordinator (BH CC) is to maintain a general understanding of available behavioral health community resources and support groups, mental health services, social service and state agencies (e.g. DMH, DDS) and levels of care. The responsibility of the BH CC is to screen members for behavioral health needs and/or social determinants of health using a specialized needs assessment. The BH CC helps connect members to the right resources, provide social support, informal counseling, assist with applications for state benefits, and advocate for an individual’s community health needs using a strengths perspective and motivational interviewing skills. The BH CC possess a basic understanding of Serious Persistent Mental Illness (SPMI), addictive disorders, as well as the Disability Culture, Developmental Disabilities, the homeless population, geriatric, Children with Behavioral Health Intervention (CBHI) services, and Managed Care Organizations. The BH CC serves as a bridge between the community and the health plan, health systems, BH vendor, government and social service systems and works in partnership with the Clinical Integration Behavioral Health Case Managers, Social Workers, and Social Care Managers to facilitate member appointments, research providers, facilitate community resources, interact with members with the goal to enhance the Team’s ability to manage a larger member population. The BH CC works in conjunction with the Supervisor/Manager to assign members to the BH Team according to assignment logic and caseloads.
Responsibilities:
Member Education, Advocacy, and Care Coordination
Care Team Communication
Regulatory Requirements – Actions and Oversight
Qualifications:
Education:
College degree (BA/BS in Psychology, Health Services field or Social Work) preferred
Experience:
AND IF Working with the ACO Member Population:
Performance Requirements including but not limited to:
Competencies:
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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