Behavioral Health Case Management Liaison

The Opportunity

The Behavioral Health Case Management Liaison manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Acts as provider liaison to oversee the Community Based Case Management (CBCM) Agencies who deliver and coordinate the behavioral services of the CCS contract.

• Identification and tracking of all assigned members of assigned CBCM agencies.
• Audits member records for compliance of CCS contract.
• Maintains ongoing contact with assigned CBCM agencies.
• Participates in agency educational meetings and agency visits.
• Facilitates enrollment and eligibility changes.
• Maintains CCS contract compliance of the CBCM agencies (i.e. Behavioral Health Assessment (BHA)/Individualized Treatment Plan (ITP) received within specified timeframes, quarterly BHS reports, post hospitalization follow-up, etc.) including onsite trainings and audits.
• Monitors and oversee the HSH provisional enrollment process.
• Notifies CBCM Agency when a member is admitted for a Behavioral Health Inpatient Hospitalization.
• Reviews authorization requests for CCS program benefits.
• Serves as Officer of the Day (OOD) to address calls from customer service and internal ‘Ohana staff.
• Processes Adverse Events.
• Collaborates with members’ QUEST Integration Health Plan Service Coordinator for continuity of care.
• Holds Interdisciplinary Team (IDT) Meetings for complex, high-risk, high-utilizing members and participates in departmental clinical rounds.

Requirements

• Bachelor’s degree with emphasis in social work, Psychology, Counseling, Nursing, or related field or equivalent combination of education and experience.
• Minimum of 2 years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning.
• Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs.
• Results-driven, builds trust, communicates effectively, customer and quality focused.
• Excellent interpersonal skills with the ability to communicate with all levels of the organization.
• Strong facilitation, and leadership skills with the ability to interact with various departments/project teams.
• Excellent, effective, and precise written and oral communication skills; speaks clearly and persuasively in positive or negative situations.
• Organizes, coordinates, and supervises large projects in a timely, creative, and effective manner.
• Solves problems, analyzes, thinks critically, makes good judgments and fair decisions.
• Experience in project management, management reporting and analysis and excellent in building, maintaining and working with spreadsheets.
• Able to effectively and methodically implement, manage, monitor, track and/or report on assigned tasks and projects.
• Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment.
• Possesses excellent time management and organizational skills; dependable, enthusiastic, self-starting, and self-motivated.
• Uses time effectively, reacts professionally under pressure.
• Demonstrated strong skills in providing solutions and/or trouble shooting complex issues.
• Excellent leadership, communication, and analytical skills.
• Strong customer service skills and able to work in a diverse, demanding and evolving environment with strong conflict and problem resolution skills.
• Intermediate skills in Microsoft Programs: Word, Excel, Outlook, and PowerPoint.
• Experience in the operation of general office equipment to include PC, fax/copy machine and phone system.
• Possession of a current valid Hawaii driver’s license and access to an insured automobile.

Preferred Requirements

• Licensed RN, LCSW, LMHC, LMFT, APRN, or Licensed Psychologist in the State of Hawaii.
• Experience in a managed care environment.

Culture

AlohaCare employees have a passion for helping Hawai`i’s most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package.

Benefits

AlohaCare’s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program.

Salary Range

$70,000 - $83,000 annually