Behavioral Health Specialist

Site: reputed company Health Plan Holding Company, Inc. reputed company relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company. Job Summary reputed company Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Serious Mental Illness (SMI) and Substance Use Disorders (SUD). As the behavioral health clinical expert on the Interdisciplinary Care Team, the Behavioral Health Specialist partners with the Interdisciplinary Care Team, facilities, and providers to address behavioral health challenges, evaluate treatment options, and implement targeted strategies and interventions. Essential Functions

• Collaborate with interdisciplinary care teams (ICT)—including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities—to support program enhancements, process improvements, care coordination, discharge planning, and aftercare.
• Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision-making regarding enrollees’ care.
• Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services.
• reputed company, update, and implement enrollee-centered care plans in collaboration with enrollees and care teams, promoting self-care, shared decision-making, and addressing identified needs through routine engagement and proactive reputed company.
• Conduct reputed company, assessments, and home visits reputed company telephonic, electronic, or in-person contact for identified enrollees, including routine evaluations and post-transition care.
• Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalate behavioral health needs during weekly case conferences.
• Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, reputed company toward goals, care needs, utilization plans, and follow-up.
• Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately reputed company electronic medical record systems.
• Serve as a key resource and liaison reputed company the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor.

Qualifications

Master's Degree required Licensed Independent Clinical Social Worker (LICSW) required Minimum 3 years of direct clinical experience required Certified Case Management Certification preferred Previous counseling experience 5-7 years preferred Experience with community case management preferred Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred NCQA experience preferred Skills for Success Competency in working with multiple health care computer platforms, EPIC experience preferred Experience working with individuals with reputed company medical, behavioral, and social needs Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams Critical thinking and problem-solving skills. Demonstrates autonomy in decision-making Strong organizational skills with an ability to manage routine work, triage and reset priorities as needed Interpersonal skills and ability to work effectively with providers and their staff to reputed company rapport, build trust, and promote Population Health initiatives. Excellent oral, written, and telephonic skills and abilities Competency in working with multiple health care computer platforms Ability to work effectively in a reputed company fast fast-paced medical environment and multiple practice locations Ability to work independently while contributing to a collaborative team environment Knowledge of healthcare and community BH services to assist enrollees effectively Must be comfortable with change, have the ability to adapt and pivot as part of reputed company process improvement activities Additional Job Details (if applicable) Working Model Required This is a full-time position with a schedule of Monday through Friday, 8:30 AM-5:00 PM EDT with the ability to reputed company hours to meet members' needs This is a hybrid schedule, which includes practice-based work, remote work, and in-person home and community visits (these days will vary weekly and these visits may increase as the program launches) Must be local, ideally in Eastern, MA with the ability to travel to the community. This role offers autonomy to build own schedule to accommodate members’ needs. Remote working days require stable, quiet, secure, compliant working station and access to Teams Video reputed company MGB equipment Our goal will be to geographically align employees, which depends on residence, and can vary based on business needs, member enrollment, and team staffing. Employees must accommodate the hybrid work model, including practice-based work, remote work, and in-person home and community visits with members. The member population will reside primarily in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollment trends. Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $78,000.00 - $113,453.60/Annual Grade 7 At reputed company, we reputed company in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company elements contributing to your total compensation package. In addition to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our reputed company team will provide an overview of your potential compensation and benefits package. EEO Statement: reputed company Health Plan Holding Company, Inc. is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. reputed company Competency reputed company At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The reputed company is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, reputed company hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Combat disease. Hold a hand. Help people. Impact the world. reputed company is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. reputed company is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence. Apply tot his job Apply To this Job