Behavioral Health Utilization Review Jobs in Rochester, NY

Job Summary:   The Care Coordinator will be responsible for outreach and engagement efforts and coordinating with all spokes (Behavioral Health, Physical Health and Social Determinant of Health Providers) involved in associated projects.

Duties

1. Services will be driven by the individualized goals of the service recipient and the primary role of the associated projects is to link clients to the services they need. The methods used to accomplish this goal include: 
   1. Developing strategies to improve attendance at mental health, substance use and primary care appointments, including attending initial appointments with the service recipient
   2. Developing and completing a thorough review of the service recipient’s crisis plan  
   3. Working with the client to understand the potential benefit of the services that will be helpful and help the client achieve their recovery goals
   4. Promoting and developing wellness activities
   5. Listening and sharing of lived experiences
   6. Modeling strategies and behaviors that will promote successful engagement in the health care delivery system
   7. Modeling behaviors for having a good life within the context of the illness
   8. Promoting enrollment into Health Home Care Management

The impact of such a role may include:

1. 1. Keeping people out of hospital and emergency rooms:
      • Encouraging the active engagement in their own self-directed treatment plan, including crisis plan
      • Participants feeling more confident in navigating the system as a result of being better informed.

1. 1. Improving quality of life:
      • Assisting in preparing for work and meaningful volunteer experiences
      • Results in a higher level of satisfaction with the service delivery system because the service recipients are better informed.
   2. Promoting better health for the whole person:
      • Promoting better emotional health which has a direct impact on the individual’s physical health.

1. 1. Offers support in moving towards recovery:
      • Reducing social isolation
      • Providing hope and a sense of hopefulness.

Client Follow Up:

1. Provide phone and face-to-face follow-up to clients that are served by the projects.
2. Create supportive relationships with each client and provide education on the role and services available through the projects. 
3. Understand the barriers clients are facing and ensure that strategies have been put in place to help clients successfully navigate these barriers and connect with the services they need. 
4. Coordinate all work activity under the direction of the Alert Manager to provide outreach and engagement services to identified clients.  Care Coordinator may be responsible for some alert management and data support.
5. Coordination includes providing status updates on engagement status and reviewing potential next steps to ensure that a clear plan is in place for each client.
6. Assist with documentation of all outreach and engagement efforts and provide reports of follow up for each client to the Alert Manager on a weekly basis.

Support Practice Change and Education:

1. Provide feedback (both written and verbal) regarding what has been learned from the outreach and engagement process as requested.
2. Provide project updates during staff meetings within the context of Lessons Learned: What is Working (when alerts are received).

Network Provider Relationships:

• Work to develop a supportive and collaborative relationship with all providers that are a part of the FLIPA Pilot.
• Provide regular feedback to the Alert Manager on the status of the relationships with the various providers involved in the FLIPA Behavioral Health Care Coordination Pilot.
• Provide support and associated reporting within the FLPPS Community Navigator Pilot.
• Provide support for other projects in the networks as they develop and are assigned.

Other Skills/Knowledge and Experience

1. Excellent written and verbal communication skills.
2. Demonstrated ability to communicate effectively and work cooperatively with culturally diverse persons, staff and multiple service provider agencies.
3. Knowledge of local behavioral health system and social determinant supports.
4. Ability to multi-task, have good problem solving and time management skills and the ability to remain calm in a crisis.

Minimum Qualifications:  

• High School Diploma/GED
• Lived experience with the Behavioral Health system of care is preferred but not required
• Ability to establish supportive client relationships 
• Ability to perform duties in a stable, consistent, and predictable manner
• Valid NYS Driver’s License in good standing