Qureos Mentor

Behavioral Health Services California

<div>Job Summary:
Coordinate and navigate various services and aspects of chronic disease, primary care, behavioral and mental health and social determinants of health centers and aid those members as needed.
Duties/Responsibilities:
<ul><li>Take initiative in instituting care coordination policies and communicating with members and providers.
</li><li>Assist with enrollment into applicable assistance programs (such as Medi-Cal or Covered CA), preregistering members with health plans and connect members to resources within BHS and in the community.
</li><li>Complete ECM assessment and care plan for members.</li><li>
Serve as the main point-of-contact for member intake into care management services offered by BHS ECM members.</li><li>
Must be available for consultations for high-acuity members at any one of the BHS outpatient sites.
</li><li>Oversee intake, transfer of care and discharge activities for members enrolled in specialty care management.
</li><li>Provide care management of specialty referrals and linkages to and from community-based partners and other needed services related to a given program/member.</li><li>
Communicate regularly with members and their families/support systems about plans of care and protocols.</li><li>
Answer members&rsquo; questions about their care, care plans, and all other issues so they feel safe and secure while receiving our services.</li><li>
Monitor and adjust member care plans based on changing needs and conditions.</li><li>
Coordinate referrals related to ECM member needs to and from BHS and providers.</li><li>
Address any member concerns with appropriate BHS/ECM staff.</li><li>
Coordinate case coordination with relevant care providers and resources.</li><li>
Report all care management activities and outcomes to executive management.
</li><li>Maintain and foster relationships with community providers, agencies and organizations involved in care transitions and continuity of care for members.</li><li>
Works collaboratively as a team member with all staff members.</li><li>
Promote and believe in BHS mission statement.</li><li>
Other duties as assigned.</li></ul>
Required Skills/Abilities:
<ul><li>Possession of current California Driver&rsquo;s License.</li><li>
Ability to relate to the public regardless of racial, ethnic, economic, sexual orientation, and gender identity status.</li><li>
Ability to work independently and as part of a team.</li><li>
Ability to demonstrate/convey respect for cultural and lifestyle diversities of members and staff.</li><li>
Ability to present to diverse communities/populations, at all levels of internal/external organizations.</li><li>
Ability to recognize personal issues that may have an impact on job performance and interactions with members.</li><li>
Ability to note documentation in electronic medical record system(s).</li><li>
Strong verbal and written communication skills.</li><li>
Proven track record of, and ability to demonstrate ethical and professional standards of behavior.</li><li>
Basic knowledge of referrals, both in and out of the healthcare system.</li><li>
Basic knowledge and Experience in utilizing Microsoft Office, specifically MS Word and Excel.</li><li>
Ability to speak, understand, and read Spanish (preferred), especially Medical Spanish.</li><li>
Knowledge of behavioral health and 12-Step/recovery resources in the community (preferred).</li></ul>
Education and Experience:
<ul><li>High School diploma, GED or equivalency.</li><li>
Associate&rsquo;s degree or higher in healthcare or a related field (will consider experience in lieu of degree)</li><li>
Experience using behavioral strategies including motivational interviewing and self-management support.
</li><li>Experience working for a community agency, with Medi-Cal (Medicaid) and Medicare, or underserved patient communities in a healthcare setting.</li></ul>
Desired Education and Experience:<ul><li>
Bachelor&rsquo;s degree in healthcare or a related field.</li><li>
Experience participating in Patient Centered Medical Home (PCMH) model of care.</li><li>
Experience working in drug and alcohol dependency or behavioral health.</li><li>
Experience developing assessments and care plans.</li></ul>
Physical Requirements:
<ul><li>While performing the duties of this job, the employee is regularly required to stand, sit, talk, hear and use hands and fingers to operate a computer and telephone keyboard reach.</li><li>
Light to moderate lifting is occasionally required (up to 25 lbs.)</li><li>
Ability to sit at a desk and computer terminal for an extended period of time.
</li><li>Ability to move about the facility.</li><li>
Vision, hearing, manual dexterity and eye-hand coordination must be adequate for performance of job duties.
</li></ul>The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.</div>

Lead Care Manager

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Behavioral Health Services California

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Lead Care Manager