Performs episodic urgent visits to ensure that members are given timely and appropriate behavioral health support and care to avoid emergency room or
Facilitates and/or delivers preventative care and behavioral health services to members according the guidelines deemed appropriate by CCA Clinical
Identifies and initiates a plan to resolve areas of opportunity
Meets BH HEDIS measures by following strict follow-up and documentation guidelines
Provides scheduled visits to conduct BH assessment and follow up visits for the management of co-morbid BH complexity and substance use concerns
Liaises with CCA Care Partner and community-based PCPs/ Specialists and community BH providers as needed
Documents all activities and results using both the Electronic Medical Record and Care Management Platform, in an effective manner while strictly adhering to CCA policies and procedures
Works closely with Telephonic Care Partner to ensure that Care Plan is accurate, up to date and reflect members BH needs
Provides behavioral health support and consultation to clinical team disciplines and other teams as needed
Provides members with psycho-social, mental health, substance use and cognitive assessments as needed
Performs crisis and risk assessments, interventions and develops a crisis plan
Collaborates with community providers who are supporting members mental health and psycho-social needs
Performs short-term bridge therapy to members
Maintains a connection to community services and on-going care coordination with community providers to ensure that they member receives the highest quality care
After assessing members, provides accurate BH diagnosis
Determines member’s behavioral health needs and potential solutions through case conferences and in person assessments.
Performs crisis assessment and referrals to CSU and inpatient facilities as
Has training and knowledge of the behavioral health continuum of care, including levels of care from inpatient to outpatient.
Can identify substance use needs and make appropriate referrals for treatment and follow up.
Seniority level
Entry level
Employment type
Other
Job function
Other
Industries
Hospitals and Health Care
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