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 Associate's 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 driver's 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.