Integrated Care Coordinator

Adelante Healthcare; Surprise (AZ); On-site; USD 52,000 - 72,000; Full time

Job summary

Adelante Healthcare seeks an Integrated Care Coordinator to work with the Behavioral Health team, identifying patients who could benefit from behavioral health interventions and connecting them with resources. The role involves collaborating with providers, gathering resources, and handling administrative duties to support integrated care across sites.

The position emphasizes patient-centered care, cultural competence, and strong communication.

Qualifications

• Bachelor’s degree in social service field preferred; or 5 years behavioral health experience with 1 year RBHA/AHCCCS may replace degree
• High school diploma or GED required
• Minimum 1 year of experience with State AHCCCS and RBHA clients; preferred
• Excellent customer service skills
• Excellent computer skills
• Knowledge of Arizona Department of Health Services and RBHA requirements
• Knowledge of chronic disease management
• Ability to complete PRAPARE assessments
• Knowledge of community resources
• Thorough knowledge of current versions of DSM and ICD
• Ability to complete Behavioral Health Assessment with clinical oversight
• Bilingual English/Spanish strongly preferred
• Valid Arizona driver’s license
• Valid Level One Fingerprint Clearance Card issued by Arizona DPS

Responsibilities

• Participate in screening of new service requests within the center according to policies and procedures
• Participate in regular interdisciplinary staff meetings
• Develop treatment/service plans with clients and establish effective alliances
• Collaborate with medical team to utilize behavioral health services
• Research potential patients for the Behavioral Health Consultants using AZARA
• Respond to positive screenings, triage scores, and refer to BHC as needed
• Provide direct client services and assist with resources for behavioral health needs
• Arrange transportation for patients for medical or behavioral health appointments
• Track clients and generate reports to monitor quality of care
• Document all service contacts promptly and accurately
• Support location with tasks when Integrated Care Coordinator is unavailable
• Disperse resources to clients based on presenting needs
• Distribute mail to patients after follow-up contact attempts
• Make reminder calls for follow-up appointments with BHC
• Collaborate across departments on integrated behavioral health
• Disseminate educational information relevant to integrated behavioral health
• Perform other duties as assigned consistent with Adelante Health Care policies

Skills

Customer service

Computer literacy

Bilingual English/Spanish

Interpersonal skills

Cultural competence

Education

Bachelor’s degree in social services

5+ years behavioral health experience

Job description

Position Summary

The Integrated Care Coordinator works collaboratively with the Behavioral Health Consultant, providers, and the Integrated Behavioral Health team. The Integrated Care Coordinator will assist in identifying patients at their respected sites who would benefit from behavioral health intervention. They also assist with gathering and providing resources, as well as other administrative needs pertaining the Integrated Behavioral Health.

The Integrated Care Coordinator works collaboratively with the Behavioral Health Consultant, providers, and the Integrated Behavioral Health team. The Integrated Care Coordinator will assist in identifying patients at their respected sites who would benefit from behavioral health intervention. They also assist with gathering and providing resources, as well as other administrative needs pertaining the Integrated Behavioral Health.

EXPECTATIONS

Every Adelante Healthcare employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.

OUR CORE VALUES

• Compassion
• Excellence
• Integrity
• Learning
• Respect
• Sustainability

Qualifications

• Bachelor’s degree in social service field is preferred or a minimum of five (5) years of behavioral health experience and one (1) year of direct experience may replace Bachelor’s Degree
• High school diploma or GED from an accredited institution is required
• Minimum of one (1) year of experience working with State AHCCCS and Regional Behavioral Health Authority (RBHA) clients; preferred
• Excellent customer service skills
• Excellent computer skills
• Knowledge of Arizona Department of Health Services and RBHA requirements
• Knowledge of chronic disease management
• Ability to complete PRAPARE assessments
• Comprehensive and working knowledge of community resources
• Thorough knowledge of current versions of DSM and ICD
• Ability to complete a Behavioral Health Assessment with appropriate clinical oversight
• Ability to provide effective and respectful quality care and services that are responsive to diverse cultural beliefs and practices
• Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross
• Bilingual English/Spanish strongly preferred
• Valid Arizona driver’s license
• Valid Level One Fingerprint Clearance Card issued by Arizona Department of Public Safety

Position Responsibilities

• Participate as directed in the screening of new service requests within the center ensuring that all individuals are adequately and appropriately served according to their individual needs and in accordance with existing policies and procedures
• Participate in regular interdisciplinary staff meetings
• Develop appropriate treatment/service plans with clients as the means for implementing appropriate service and developing effective alliances with clients
• Works with the medical team including the medical providers and medical assistance in the utilization of behavioral health services
• Utilize AZARA reports to research potential patients for the Behavioral Health Consultants
• Responds to positive screenings, triages scores, communicates plans as needed with patient and refers to BHC
• Provide direct client services to individuals and/or family members who are in need of resources or other issues related to behavioral health needs
• Assist in setting up transportation for patients as needed for medical or specialty behavioral health appointments
• Assist supervisory staff with tracking of clients, including the generation of reports that will allow follow-through on quality of care
• Document all service contacts on a timely basis
• Assist with monitoring the assigned task boxes at location which do not have an Integrated Care Coordinator
• Provide resources to clients contingent on their presenting needs
• Responsible for distributing mailing to patients including after failure to contact for follow up care
• Complete reminder calls to patients who have scheduled follow up appointment with the Behavioral Health Consultant
• Work collaboratively with all departments as it pertains to integrated behavioral health
• Research and disperse to the team educational information relevant to the field of integrated behavioral health
• Perform other duties as assigned by the supervisor which are consistent with the position and in compliance with Adelante Health Care policies and procedures

Nonessential Skills And Experience

• Experience with community resources and agencies, preferred

Additional Duties And Responsibilities

• Other duties as requested or assigned

Patient-Centered Medical Home (PCMH)

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities. Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.