Remote Behavioral Health Coordinator for LTSS Integration

UPMC; Pittsburgh (Allegheny County); Remote; USD 60,000 - 80,000; Full time

Job summary

UPMC is seeking a Behavioral Health Coordinator for the Community Health Choices program in Pennsylvania. The role focuses on integrating CHC-MLTSS with BH-MCOs and coordinating care across primary and behavioral health providers.

This full-time, remote position requires PA residency and close collaboration with BH providers and medical staff. Responsibilities include establishing processes, ensuring access to services, and advocating for members, with a strong emphasis on coordination between

Qualifications

• Bachelor's degree in Social Work, Psychology or other health related fields.
• 3-5 years of experience in behavioral health.
• Behavioral health managed care experience.
• Cultural competency and the ability to provide informed advocacy.
• Ability to interact with physicians and other health care professionals in a professional manner.

Responsibilities

• Develop processes to coordinate behavioral healthcare between PCPs and BH Providers.
• Ensures members have access to any needed behavioral health services.
• Serves as a liaison for CHC MCO integration and BH-MCO collaborative issues and efforts.
• Coordinate Participant care needs with BH Providers.
• Assists members in identifying and choosing willing and qualified providers.
• Participate in the identification of best practices for BH in a primary care setting.
• Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery to provide members with seamless coordination between physical, behavioral and support services.
• Collaborates with BH-MCOs to facilitate delivery of CHC-MCO covered behavioral health services to eligible members.
• Coordinate behavioral care with medically necessary services.
• Be knowledgeable of the BH Managed Care Agreement requirements and coordinate with the BH-MCO to effectuate the requirements.
• Determines and develops processes needed to ensure integration and efficiency between CHC and BH-MCOs.

Skills

Cultural competency

Professional communication

Advocacy

Education

Bachelor's degree in Social Work/Psychology/health fields

Job description

UPMC is seeking a Behavioral Health Coordinator for the Community Health Choices program in Pennsylvania. The role focuses on integrating CHC-MLTSS with BH-MCOs and coordinating care across primary and behavioral health providers.

This full-time, remote position requires PA residency and close collaboration with BH providers and medical staff. Responsibilities include establishing processes, ensuring access to services, and advocating for members, with a strong emphasis on coordination between