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.