Behavioral Health Care Advocate & Coordinator

University of Massachusetts Medical School; Westborough (MA); On-site; USD 65,000 - 90,000; Full time

Job summary

UMass Chan Medical School seeks a Behavioral Health Care Partner (BHCP) Care Coordinator to manage a caseload of nursing facility residents identified via PASRR and ensure delivery of recommended services. The role includes visits, documentation, and active care planning to support transition to community living where possible.

You will advocate for residents, address gaps with innovative programs, coordinate with providers, and uphold HIPAA and quality-improvement initiatives within a

Qualifications

• Bachelor’s degree in social work or related health and human services field.
• OR Licensed Practical Nurse (LPN) with an associate degree.
• Two years of work experience providing direct service, care coordination, or case management to adults with psychiatric disabilities, including at least one year in a medical/clinical setting.
• Demonstrated knowledge of social service/rehabilitation systems; ability to travel statewide; proficient in MS Word/Outlook/databases.

Responsibilities

• Serve as a care coordinator for an assigned caseload of nursing facility residents.
• Conduct monthly in-person or virtual visits with residents and guardians; at least one in-person per quarter.
• Review and document relevant information into data systems per guidelines.
• Participate in quarterly nursing care planning meetings with the nursing facility.
• Advocate for residents to ensure their needs are met and services are delivered.
• Identify service gaps and develop solutions through innovative programming.
• Monitor clinical appropriateness of facility and community supports; address issues.
• Escalate concerns to proper oversight authorities as needed.
• Contribute to transition planning to community living when applicable.
• Maintain records of encounters in data systems per guidelines.
• Support in preparing/responding to statistics and data requests.
• Foster partnerships with providers, hospitals, long-term care facilities, and programs.
• Participate in public relations, conferences, and meetings as needed.
• Maintain HIPAA-compliant confidentiality and follow department policies and safety rules.
• Contribute to performance improvement and quality initiatives.

Education

Bachelor's degree in social work or related health field

Licensed Practical Nurse (LPN) with an Associate degree

Job description

UMass Chan Medical School seeks a Behavioral Health Care Partner (BHCP) Care Coordinator to manage a caseload of nursing facility residents identified via PASRR and ensure delivery of recommended services. The role includes visits, documentation, and active care planning to support transition to community living where possible.

You will advocate for residents, address gaps with innovative programs, coordinate with providers, and uphold HIPAA and quality-improvement initiatives within a