Jobs · West Virginia

Integrated Care Specialist

Heartland East · Bartow, WV · 6 days ago
Full-time

About the role

This is a professional non-clinical position responsible for the coordination of care for children related to Agency for Persons with Disabilities (APD) processes, management of Baker Act operational requirements, and facilitation support for Level-of-Care (LOC) staffings; ensuring consistent, efficient and compliant workflows across developmental disability services, behavioral health crisis systems and internal multidisciplinary team processes. This position will directly provide connections/support for children and adults with mental health, substance abuse and behavioral health needs.

Essential Functions

  • Establish and maintain positive working relationships with Heartland for Children internal and external customers
  • Provide connections and support for mental health, substance and behavioral health needs of children and adults
  • APD Coordination
  • Educates and supports case managers, caregivers and stakeholders on APD processes and requirements
  • Collections, reviews and submits applications for youth with qualifying diagnoses and assists with eligibility determinations and appeals
  • Coordinates assessments and monitors all related timelines, including crisis requests and re-enrollment needs
  • Facilitates residential transitions and communicates with providers regarding placement options, required documentation and service/payment coordination
  • Maintains accurate tracking systems (FSFN and internal databases) and participates in case reviews and MDT staffing meetings
  • Serves as a liaison among APD/Waiver Support Coordinators, DCF, receiving facilities, Medicaid Managed Care, AHCA, DJJ and community providers
  • Baker Acts
  • Responds to notifications and follows established rapid response protocols to ensure timely coordination with receiving facilities
  • Tracks all episodes, dispositions, follow-up scheduling and service linkages within required timeframes
  • Communicates with providers regarding treatment team meetings, step-down planning and service availability
  • Provides guidance to case management on obtaining the appropriate follow-up services for children who have been Baker Acted or Marchman Acted and those children staffed for therapeutic, substance abuse or other behavioral health services
  • Maintains a comprehensive therapeutic tracking log for youth with inpatient and high-acuity episodes
  • Daily monitoring and tracking of Baker Acts to identify the need for a Staffing
  • Daily monitoring and tracking of seven (7) day follow-up appointments after discharge
  • Level-of-Care Staffings – (Non-clinical facilitation role)
  • Receives and tracks referrals for multidisciplinary behavioral health staffings
  • Prepares packets, organizes assessments and ensures documentation is completed prior to staffings
  • Facilitates meeting logistics and documents decisions and action items, routing them to assigned team members for follow-through
  • Aid case managers in preparing appropriate information, including request for initial suitability assessments and 90-day reviews for potential providers for children when appropriate for review and/or placement in residential treatment mental health or substance abuse treatment
  • Supports case management teams with navigation of therapeutic, residential and community-based service options when higher-level placements are not authorized
  • Provide assistance, guidance and recommendations for services when medical necessity is not met for higher levels of care and community services are most appropriate
  • Facilitation & Backup Support
  • Serve as a back-up to the Behavior Health Specialists in conducting staffings when deemed appropriate or necessary
  • Attend and facilitate staffings as required through other HFC Departments to meet the needs of children
  • Perform special projects as assigned

Required Qualifications

  • Bachelor’s Degree in Social Work or Human Services field.
  • Minimum of three years’ experience in child protection and/or child welfare or related field.
  • Knowledge of development disabilities required.
  • Experience working in FSFN preferred.

Benefits

Excellent benefits package with tuition assistance, domestic partner coverage, retirement and generous paid time off.

Additional Information

  • Drug free workplace.
  • Drug testing required.
  • EEO/M/F/D/V.

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