Care Coordinator I, Behavioral Health (Utilization Management)

About the role

Ensures quality care by reviewing patient assessments, care, and interventions for completeness and accuracy, prioritizing the patient experience during care transitions, documenting treatment plan progress, supporting the team by contributing updates in multidisciplinary clinical meetings, and assisting in the coordination of care needs (e.g., coordinating transfers, planning discharges, making community service referrals, reviewing and/or obtaining authorizations) across the continuum of care.

Responsibilities

• Coordinates patient care by collaborating with treating clinicians to review and improve treatment plans, identifying and implementing potential recommendations to enhance care coordination, making referral recommendations, following case management policies, and documenting issues related to treatment plans and follow-up appointments.
• Ensures compliance with policies to promote patient care and avoid liability, follows standards and regulations in interactions with patients, physicians, contact providers, medical staff, and outside agencies and supports efforts to maintain survey readiness and regulatory compliance in contracted facilities and/or medical centers.
• Collaborates with stakeholders to facilitate care by building relationships with external providers and medical staff, solving patient treatment issues, ensuring contract compliance, and serving as a liaison on contracting and referral processes.
• Manages patient data and records by compiling and reporting information (e.g., length of stay, services provided, cost), facilitating interventions, and conducting quality management studies and/or audits.
• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members.
• Listens to, seeks, and addresses performance feedback; provides mentoring to team members.
• Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples.
• Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes.
• Supports and responds to the needs of others to support a business outcome.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives.
• Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information.
• Supports, identifies, and monitors priorities, deadlines, and expectations.
• Identifies, speaks up, and implements ways to address improvement opportunities for team.

Qualifications

• Minimum two (2) years of experience in behavioral health case management or care coordination.
• Masters degree in Psychology, Counseling, Social Work, or a related field AND minimum three (3) years of experience in counseling, social work, or a directly related field.
• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
• Licensed Clinical Social Worker (Oregon) within 6 months of hire AND Licensed Independent Clinical Social Worker (Washington) within 6 months of hire OR Mental Health Counselor License (Washington) within 6 months of hire AND Professional Counselor License (Oregon) within 6 months of hire OR Licensed Marriage and Family Therapist (Oregon) within 6 months of hire AND Licensed Marriage and Family Therapist (Washington) within 6 months of hire OR Psychologist License (Oregon) within 6 months of hire AND Psychologist License (Washington) within 6 months of hire
• National Provider Identifier required at hire

Preferred Qualifications

• Two (2) years of experience in an inpatient psychiatric or psychiatric emergency service setting.
• PhD, PsyD, or EdD in Clinical, Counseling, or a related field.

Skills

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Teamwork
• Topic-Specific Communication
• Behavioral Health Practice Knowledge
• Behavioral Health Practice Protocols and Guidelines
• Behavioral Health Treatment
• Clinical Quality Expertise
• Coordination
• Health Care Compliance
• Health Records
• Interpersonal Skills
• Issues and Crisis Management
• Medical History
• Organizational Skills
• Patient Safety
• Psychological Assessments and Diagnostics
• Psychology Knowledge
• Stakeholder Management

Pay

$78,200 – $101,200 / year (actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location).

Schedule

Full-time, Monday–Friday, 8:00 AM – 5:00 PM; 40 hours/week. Travel required: 50% of the time.