Behavioral Health Care Partner (BHCP) Care Coordinator Sourcing Requisition

Serve as a care coordinator for an assigned caseload of nursing facility residents.

Conduct monthly in-person or virtual visits with each nursing facility resident and guardians if applicable with at least one in-person visit per quarter

Review and document all relevant information including written clinical summaries into data system applications in accordance with program guidelines and regulations.

Participate in quarterly nursing care planning meetings with the nursing facility.

Act as an advocate for assigned nursing facility residents to ensure their needs are being met.

Ensure all recommended PASRR services are delivered to assigned nursing facility residents.

Identify service gaps and solutions to gaps through innovative programming

Monitor the clinical appropriateness of the residents facility and community-based supports and address issues accordingly

Escalate concerns with the residents care to the proper oversight authority(s)

Act as an active member of the residents transition planning to community living; if applicable

Maintain individual records documenting all applicant/participant encounters and contacts into data system applications in accordance with program guidelines and regulations.

Support in the preparation and responses to requests for statistics and resource/service data

Foster and promote continuity of care and cooperative partnerships by liaising with health care providers acute care hospitals long term care facilities and other programs/organizations involved in the provision of services

Participate in public relations efforts attending conferences and meetings as needed

Maintain positive working relationships with applicant/participants and relevant informal supports provider organizations program consultants and state agencies

Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School/ForHealth Consulting procedures and HIPAA regulations

Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations

Comply with established departmental policies procedures and objectives

Comply with all health safety and program regulations and requirements

Bachelors Degree in social work; a related health and human services field or equivalent.

OR

A Licensed Practical Nurse (LPN) with an Associates Degree or equivalent.

AND

2 years of work experience providing direct service care coordination or case management to adults with psychiatric disabilities inclusive of 1 year of experience in a medical or clinical setting with knowledge of medical terminology.

Demonstrated knowledge and experience with relevant social service/rehabilitation systems.

Ability to travel statewide with a valid drivers license

Proficient in the use of Microsoft Applications including Word Outlook and database

Experience with disabled or long-term care populations

Experience in community mental health and behavioral health services and one of the following areas: Long-Term Care Home Care Rehab and/or Disabilities

Ability to understand and utilize resources for problem solving in order to deal with problems involving multiple variables effectively prioritizing and executing tasks in a high-pressure environment.