Behavioral Health Specialist

2 weeks ago

Rancho Cucamonga, California, United States Alura Workforce Solutions Full time
Position
Behavioral Health Specialist - Call Center
Children and Families with Developmental Disabilities

Classification 
Full-Time, Contract - 6 Months 
Hybrid
Monday and Friday work from home, Tues., Wed., and Thurs. work onsite

Description
Under the direction of Supervisor, BH & Substance Use Disorder, this position may engage in a variety of activities to serve members, including working as part of a telephonic team assisting members in crisis, assisting members in crisis to access long-term supports and services, assisting members in crisis to access appropriate behavioral health and substance use disorder services, assisting behavioral health providers in the BH network to improve crisis response time, supporting BH Care Managers to assist members who have chronic mental health and substance use disorders with self-management, engaging in projects to improve member experience with care, and working in quality improvement projects and initiatives. This position, like all positions within the BH Department, is expected to model behavioral health principles of relationship-based care, as well as engage in promoting education and understanding of behavioral health and its importance in whole health, to those within the organization and in the community.Education & Experience
  • One (1) year Health/Behavioral care agency, agency serving children with autism or developmental disabilities
  • Experience working successfully within a team, and experience in developing and maintaining effective relationships with both customers/clients and coworkers is required
  • Bachelor's degree in social work, sociology, psychology, or another social science or related area from an accredited institution required
Key Qualifications
  • Proficient in the use of computer software to include but not limited to: (e.g. Microsoft Word and Excel, PowerPoint)
  • Excellent interpersonal skills
  • Valid California Driver's License required
Knowledge Requirement:

  • Familiar with working with Children and Families with Developmental Disabilities. Experience with working with teams.

Key Responsibilities:
  1. Assist the Member with care coordination (i.e., PCP appointment, Provider appointment, ABA, etc.) and ensure linkage to services.
  2. Assist families with identifying appropriate Behavioral Health Treatment (BHT)/Qualified Autism Service Provider (QASP) providers who can complete assessments and provide applied behavior analysis (ABA) services.
  3. Assist members with ancillary services such as Speech Therapy, Occupational Therapy, and Physical Therapy, to close the loop in getting the member connected to services.
  4. Provide education on the BHT Benefit and other health plan benefits.
  5. Assist Members with filing grievances.
  6. Take calls from Member Services, Behavioral Health Call Center (BHCC), etc. to assist members with their needs and/or requests.
  7. Engage and collaborate with other departments, including but not limited to, Member Services, Utilization Management, and other internal departments as needed to ensure all the needs are met for the member.
  8. Assist with Members who are aging out of the BHT benefit by outreaching and providing education regarding the transition.
  9. Process changes of providers for ABA services when assisting members telephonically.
  10. Establish and maintain effective relationships with co-workers, supervisors, and other colleagues and collaboratively work with team members.
  11. Engage in a professional, compassionate, and effective manner when assisting Members and/or Network Providers via telephonic communication.
  12. Participation in behavioral health team and department meetings.
  13. Model continuous quality improvement philosophy and engage in quality improvement initiatives and projects related to HEDIS measures.
  14. Model supportive and collaborative relationships with members, BHT providers, and all community relations.
  15. Participate in other committees as needed or as directed by the BH supervisors, managers, or senior director.
  16. Engage in all employee trainings and comply with all policies.
  17. Perform any other duties as required.
Commitment to Quality:

The team is committed to incorporating Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

INDH

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