[Hiring] Behavioral Health Coordinator @UPMC

Role Description

The Behavioral Health Coordinator is responsible for ensuring integration and coordination of activities between the CHC-MLTSS (Community Health Choices - Managed Long Term Support Services), BH-MCOs (Behavioral Health Managed Care Organizations), and behavioral health providers. This person will represent UPMC in interactions with BH-MCOs to coordinate services across the continuum of care through a community-based approach to improve health outcomes of members served.

This is a full-time position working Monday through Friday daylight hours. This is a remote position; however, due to geographical requirements, candidates must be located in Pennsylvania!

• Develop processes to coordinate behavioral healthcare between PCPs and BH Providers.
• Ensures members have access to any needed behavioral health services.
• Serves as a liaison for CHC MCO integration and BH-MCO collaborative issues and efforts.
• Coordinate Participant care needs with BH Providers.
• Assists members in identifying and choosing willing and qualified providers.
• Participate in the identification of best practices for BH in a primary care setting.
• Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery to provide members with seamless coordination between physical, behavioral, and support services.
• Collaborates with BH-MCOs to facilitate delivery of CHC-MCO covered behavioral health services to eligible members.
• Coordinate behavioral care with medically necessary services.
• Be knowledgeable of the BH Managed Care Agreement requirements and coordinate with the BH-MCO to effectuate the requirements.
• Determines and develops processes needed to ensure integration and efficiency between CHC and BH-MCOs.

Qualifications

• Bachelor's degree in Social Work, Psychology, or other health-related fields.
• 3-5 years of experience in behavioral health.
• Behavioral health managed care experience.
• Cultural competency and the ability to provide informed advocacy.
• Ability to interact with physicians and other health care professionals in a professional manner required.
• Experience working with people with disabilities or seniors in need of LTSS preferred.
• Knowledge of the home and community-based service system and how to access and arrange for services preferred.

Requirements

• Licensure, Certifications, and Clearances:
• Act 34

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.