Wellness Coordinator

About the role

The Wellness Coordinator will lead and manage the Health Home (HH) Team to ensure high-quality support and comprehensive care for patients. This role involves identifying OTP (Opioid Treatment Program) patients, conducting outreach, assessing needs, and developing individualized care plans in collaboration with patients.

Key Responsibilities

• Facilitate Medicaid enrollment and automatic enrollment in the Health Home program, offering opt-out options.
• Monitor and bill Health Home service notes using SAMMS.
• Develop and implement a flexible, patient-centered care plan addressing clinical and non-clinical needs; update care plans based on any health changes.
• Collaborate with Wellness nurses and providers on discharge planning for OTP patients and new referrals.
• Coordinate access to preventive, health promotion, mental health, and substance use services.
• Support continuity of care through comprehensive care management, care coordination, and transitional care.
• Connect patients to community resources, social support, long-term care, and recovery services.
• Educate and assist new patients in understanding and enrolling in the Health Home Program.
• Offer practical support, advocacy, and problem-solving assistance to patients.
• Provide nutritional education related to specific medical issues and conduct wellness interventions.
• Oversee a continuous quality improvement program, collecting data to evaluate and improve care coordination, outcomes, and service quality.

Regulatory Compliance

Ensure compliance with all federal, state, and local regulations and accrediting agencies.

Commitment to Diversity

Support and contribute to an inclusive work environment, embracing diversity.

Minimum Qualifications

• Master’s degree in Social Services, Psychology, Social Work, or Criminology or Registered Nurse (RN) license.
• Familiarity with behavioral health and related experience.
• Strong integrity and excellent communication skills to engage with diverse backgrounds.
• Structured approach to handling high caseloads.
• Ability to work at other BHG Rhode Island locations as needed.

Physical Requirements

• Variable workload, with periods of high activity.
• Visual acuity for reading and computer work.
• Able to sit for extended periods, with occasional bending and stretching.
• Able to perform keyboarding for extended periods.

Why Join BHG?

• Work-Life Balance: Enjoy generous paid time off, holidays, and personal needs.
• Investment in Your Growth: Prioritize your development with role-based training and advancement opportunities.
• Comprehensive Benefits: Choose from three benefits programs, including health, life, vision, and dental insurance.
• Tuition reimbursement and 401K plan with discretionary match.
• Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.
• Employee Perks: Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self-care series.