Licensed Behavioral Health Care Coordinator - Denver Health Medical Plan (*Must Live In Or Relocate To Colorado*)

We are recruiting for a motivated Licensed Behavioral Health Care Coordinator - Denver Health Medical Plan (*Must Live In Or Relocate To Colorado*) to join our team!

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Department

Managed Care Administration

*Must Live In Or Relocate To Colorado*

Job Summary

Under minimal supervision, the Licensed Behavioral Health Care Coordinator (BHCC) is responsible for facilitating and coordinating
the care delivered to an assigned group of members who are identified as having primary behavioral health needs (mental health
and/or substance use disorder concerns) using multidisciplinary and member/family collaboration to ensure quality and cost
effective outcomes are delivered within appropriate care coordination parameters. Coordination involves assessment of care
needs, planning, support, and evaluation of member care and related outcomes. Activities to be performed are screening and
assessment of medical, behavioral health and social determinants needs and gaps in care, collaboration with the Member to
develop a care plan with SMART goals, scheduled outreach to support member in achieving their goals and supporting the
Members self-efficacy to navigate systems. BHCC communicates closely with the Member's care team inclusive of: the Member,
designated health representatives, primary care provider, behavioral health providers and other care coordinators involved with
the Member's care. Encounters occur face to face, telephonically, and electronically with members in clinic and in other
community-based settings.

Position is an active contributor in the development of systems (e.g. workflows, clinical pathways, assessments) to improve the
care of assigned member populations. Helps ensure compliance with state, federal and third-party payer requirements.

Essential Functions:

• In Members with primary complex behavioral health needs, use DHMP Care Management protocols and critical thinking to assess, identify opportunities to improve Member healthcare outcomes, collaboratively set SMART goals with the Member, develop a care plan with interventions and support and enable the Member to achieve their goals and independently navigate needed services to improve overall health outcomes. (15%)
• Visits members with complex behavioral health needs in community based settings, including community centers, hospitals or providers' offices. (15%)
• Provides a complete continuum of quality care through close communication with members via in-person, phone or electronic interaction (15%)
• Supports members with education relevant to their disease process, medication reviews and connections to community resources such as food, housing or financial support programs. (10%)
• The BHCC will work with members with complex needs, prioritize care management and work with a multidisciplinary team to support the needs of the Members on their caseloads (10%)
• Documents in readable, understandable language according to professional, regulatory, and agency standards. (10%)
• Documents and disseminates results of care to member, caregivers, and others involved in the care or situation, as appropriate, in accordance with contractual requirements, state and federal laws, regulatory requirements, and Denver Health policy. (10%)
• Uses therapeutic approaches to identify the Member’s readiness for and ability to change behavior to support achieving Member’s goals.
  *Identifies and executes evidence-based interventions to support the Member in achieving their health goal (10%)
• BHCC-DSNP will be responsible for a defined caseload of Members enrolled in the DHMP Medicare Choice Dually-eligible Special Needs Program (DSNP) who are identified as having a high risk acuity level and a primary behavioral health condition.
  *The DSNP Model of Care is a well-defined model requiring a comprehensive health risk assessment (HRA),
  individualized care plan (ICP) and integrated care team (ICT) review of the ICP. This routine is completed at least annually and more frequently when the Member experiences a change in condition, as evidenced by hospitalization, movement to a residential place of care or other event.
  *BHCC obtains Member consent to participate in the program as well as to share clinical information with the
  Member’s care team.
  *BHCC works in collaboration with the DSNP team and supports Members of the team including social workers, RNs
  and care coordinators with behavioral health expertise and an understanding of