Integrated Care Coordinator - Community Services

Prestera Health Services; Delbarton (WV); On-site; USD 50,832,000 - 68,773,000; Full time

Job summary

Prestera Health Services in Delbarton, WV is seeking a Full Time Behavioral Health Specialist to screen, assess, and engage individuals in community settings. The role emphasizes risk assessment, care coordination across health, housing, and social services, and documentation in the EHR.

Travel up to 50% is required; a 4-year degree is expected; a state driver’s license is required. Proficiency with Word, Excel, PowerPoint and EHR systems is expected.

Qualifications

• Possesses the equivalent of formal training in behavioral health, usually in the form of a major in Psychology, Social Work, Counseling, or Criminal Justice as part of a Bachelor's Degree program.
• Maintains current knowledge of standards of care and practices, typically acquired through continuing education.
• A valid state-issued driver’s license is required.
• Prepares basic correspondence and simple reports in Microsoft Word. Uses Microsoft Excel to create tables and simple displays of information. Creates basic presentations in Microsoft PowerPoint. Demonstrates necessary proficiency with all electronic clinical systems, including EHR and scheduling systems, in use at the Company.
• Displays basic organizational skills to self-prioritize and organize own work.
• Work is performed in community-based settings, including client homes and partner locations. Requires frequent travel within the service area.

Responsibilities

• Establishes and maintains professional relationships with individuals, families, referral sources, and community partners.
• Completes initial and ongoing assessments in accordance with program, payer, and regulatory requirements.
• Identifies risk factors, including suicidal or homicidal ideation, and ensures immediate intervention, documentation, and follow-up in accordance with organizational protocols.
• Utilizes standardized screening tools (e.g., PHQ-9, SDOH assessments) as required.
• Coordinates services across healthcare, behavioral health, housing, employment, and social service systems.
• Facilitates communication among providers, natural supports, and community resources.
• Schedules appointments and assists with transportation coordination to reduce barriers to care.
• Participates in treatment team meetings and case reviews.
• Maintains timely, accurate, and compliant documentation in the electronic health record (EHR).
• Provides targeted case management and supportive interventions consistent with scope of practice.
• Supports individuals in navigating systems of care and adhering to treatment recommendations.
• Promotes engagement in ongoing services and continuity of care.
• Advocates for individuals to ensure access to appropriate services and resources.

Skills

Professional communication

Organizational skills

Critical thinking

Education

Bachelor's degree in Behavioral Health related field

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

EHR systems

Job description

Prestera Health Services in Delbarton, WV is seeking a Full Time Behavioral Health Specialist to screen, assess, and engage individuals in community settings. The role emphasizes risk assessment, care coordination across health, housing, and social services, and documentation in the EHR.

Travel up to 50% is required; a 4-year degree is expected; a state driver’s license is required. Proficiency with Word, Excel, PowerPoint and EHR systems is expected.