The Behavioral Health Care Coordinator (BHCC) works as a key member of the Integrated Behavioral Health (IBH) Team and in collaboration with the Interdisciplinary Teams (IDT) for the region as part of InnovAge s Program of All-Inclusive Care for the Elderly (PACE). Our IBH team functions largely as a Consultation Liaison service and consists of the BHCC, licensed therapists (PsyD, PhD, LPC, LCSW, LMFT), internal Psychiatric Mental Health Nurse Practitioners (PMHNP), and externally contracted licensed behavioral health providers.
The BHCC is responsible for coordinating internal and external behavioral health referrals, navigating a patient panel for individual support with participants under the guidance of licensed teammates, and managing licensed clinicians time for in-person and telehealth assessments and interventions across centers. The BHCC also serves as a resource to multiple centers across the region, helping with onboarding, creation of education materials, data tracking, verifying out-of-network claims, scheduling intakes for behavioral health consultations, and attending meetings with IDT, participants, and families.
Essential Functions and Work Responsibilities
Duties may include, but are not limited to:
Functional Category: Direct, Participant Facing Care
Estimated Percent of time Spent 35%
• Provides direct service for participants through supportive check-ins and completion of screeners for assigned participants with identified behavioral health needs.
• As a non-licensed teammate, direct patient contact is limited to interactions to include selecting and completing appropriate screeners, active listening, normalization and validation of feelings, motivational interviewing, safety planning, and specific psychoeducation as directed by a licensed clinician.
• Participants with new or worsening symptoms, based on parameters set by a licensed clinician, will be re-escalated to licensed BHP for further management and stabilization. Functional Category: Coordination of Care
Estimated Percent of time Spent 35%
• Fields internal referrals for Behavioral Health services to ensure adequate and appropriate referral information, working with Primary Care Providers (PCP), members of the IDT, surrogate decision-makers, and the rest of the IBH team to gather additional information as needed.
• Coordinates care for in-person and telehealth appointments for PMHNPs and BHPs.
• Facilitate outside behavioral health referrals as ordered by PCPs and reviewed by BHPs.
• Collaborates with external behavioral health services as single point contact for updates on participants care, and relays medical records to InnovAge clinic staff and health information management (HIM). Functional Category: IDT Collaboration
Estimated Percent of time Spent 20%
• Collaborates with entire IDT on case consultation.
• Coordinates care with the participant s primary care provider, appropriate interdisciplinary team members, and appropriate behavioral health providers.
• Fosters communication with center staff, monitoring potential behavioral health needs.
• Serving as behavioral health first contact for participant crises that arise in home center to deescalate and provide 1:1 support, stabilizing participant until physician or licensed behavioral health provider can intervene. Functional Category: Administrative
Estimated Percent of time Spent 10%
• Maintains accurate and timely documentation and paperwork including participants electronic medical records according to policies and procedures.
• Researches and verifies out of network claims related to behavioral health across centers.
• Updates and maintains data on onboarding and employment maintenance requirements.
• Updates and maintains data on IBH referrals, participant panels, touchpoints, and staffing.
• Updates and maintains data on Clinical Value Initiatives.
• Supports the Behavior Health team across the region with other assigned duties as needed (administrative, auditing, projects, etc.) Physical Demands and Work Environment
Stand (choose one): Never Occasionally Frequently Continuously
Sit (choose one): Never Occasionally Frequently Continuously
Walk (choose one): Never Occasionally Frequently Continuously
Bend, crawl, crouch, kneel, stoop, or reach overhead (choose one): Never Occasionally Frequently Continuously
Lift/Carry: maximum 10 pounds
Push/Pull: maximum 10 pounds
Use hands to touch, handle or feel (choose one): Never Occasionally Frequently Continuously
Talk (choose one): Never Occasionally Frequently Continuously
Visual (choose one): Near visual acuity Far visual acuity Depth perception Peripheral vision Not required
Hear (choose one): Occasionally Frequently Continuously Not required
Environment (choose one): Inside Office Environment Inside Center/Clinical Facility Environment Outdoor Weather Conditions
Other (if applicable):
Travel Requirements
Estimated Percent of time Spent
• Travel between local InnovAge worksites
• 10% or less
• Travel to client and potential client homes and/or other off site locations
• 10% or less
• Overnight travel out of state
• 10% or less Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
REQUIRED
Education
• Bachelor's degree in health/human services field AND must be enrolled in good standing in a master s level licensure in counseling, social work, or psychology program
• This position is a great opportunity for applicants pursuing higher education in the behavioral health field as there is potential to transition into licensed work with InnovAge upon graduation Licensure, Certification, Registration or Designation
• Must be enrolled in good standing in a master s level licensure in counseling, social work, or psychology program Work Experience and Qualifications
• 2+ yr working in mental health environment
• Computer skills: Must have experience working with Electronic Health Records System (EPIC preferred), Microsoft Office Suite (Outlook, Teams, Excel, Word, etc.)
• Requires personal transportation, current state issued driver s license, clean driving record, and auto insurance
• Open to continued training in non-licensed skills (e.g., SBIRT, Motivational Interviewing, De-escalation, Dementia Care, Mental Health First Aid, etc.) PREFERRED
Education
• Must be enrolled in good standing in a master s level licensure in counseling, social work, or psychology program Licensure, Certification, Registration or Designation
• Already attended trainings (e.g., Mental Health First Aid, SBIRT, etc.) Work Experience and Qualifications
• Experience and comfort working with the older adult population
• Experience and knowledge of behavioral health disorders and related biopsychosocial implications
• EPIC EMR experience InnovAge Service Standards Requirements
Safety
• Safety- Maintains a safe work place. Reports all unsafe work conditions to supervisor and/or Safety & Loss Control Manager and works in conjunction with supervisor, Safety & Loss Control Manager, and staff to correct unsafe work conditions. Follows and enforces all safety policies. Accountability
• Commitment Commits to his/her job and to the success of the company. Continuously puts forth the effort to achieve goals and continuous quality improvement. Degree to which employee goes the extra step to ensure job/task completion. Takes initiative to offer ideas to improve processes or results.
• Cooperativeness Consistently supports management decisions as demonstrated by his/her actions. Demonstrates a can do attitude by responding positively to instructions. Follows instructions and works harmoniously with others to complete the job or task.
• Attendance Meets or exceeds punctuality and attendance expectations/requirements. Faithfully reports to work and conforms to scheduled work hours. When necessitated, follows call-in procedures and informs others of absences. Caring
• Customer Service - Embraces the organization's commitment to internal and external customer service and demonstrates a customer-centric approach when interacting with co-workers, participants, clients, and all other business contacts.
• Confidentiality Maintains confidentiality of employee, participant, and client data/information, and any other sensitive organization information as appropriate. Integrity
• Adherence to Company Policy Follows and enforces guidelines as established by policies. Conforms to company and job standards and requirements. Shows respect for others. Acts in the best interests of the company at all times. Serves as an example for others . click apply for full job details
Date Posted: 01 April 2025
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