MHSUD Care Coordinator at Alliance Health in Morrisville, North Carolina

Job Description:

The MH/SUD Care Coordinator is responsible for individuals with complex chronic Mental Health and/or Substance abuse diagnoses to navigate the behavioral health system in the least restrictive environment. The Coordinator shall provide person-centered approach to identify service needs and link to the most effective service and appropriate level of care and support, provide technical assistance in managing chronic illness, provide education about the system of care approaches in collaboration with stakeholders, monitoring person-centered planning effectiveness, quality of care and ensure the use of evidence-based best practice service delivery methods.

Duties and Responsibilities 

• Strive for an efficient and effective Managed Care Organization (MCO) and identify and report work-related problems to higher authority;


• Assure that clinical assessments of individuals in identified Special Needs Populations are completed in order to identify needs for treatment or monitoring;


• Identify gaps in services and intervene to assure that the individual receives appropriate care;


• Measure results of intervention and treatment, including reduction in high risk events and inappropriate service utilization;


• Assure that services for the individual are coordinated across the MCO and with other systems, including primary care;


• Provide clinical discharge planning assistance to local hospitals and track individuals discharged from state and local hospitals to assure that they follow up with aftercare services and receive needed assistance to prevent further hospitalizations;


• Proactively assure that individuals identified as special needs enrollees (that have treatment needs or need regular monitoring) have a Behavioral Health Clinical Home and a Medical Home;


• Assure that Person-Centered-Plans (PCP) are developed by a Behavioral Health Clinical Home or, if necessary, by the Care Coordinator to meet urgent needs and to access care for individuals;


• Works in partnership with other Partner departments to address identified needs within the catchment area (i.e. System of Care);


• Verify that services are delivered as outlined in person centered plan and addresses any deviations in service;


• Proactively respond to an individual’s planned movement outside the MCO geographic area to ensure changes in their Medicaid County of eligibility are addressed prior to any loss of service;


• Proactively monitor own documentation to ensure that issues/errors are resolved as quickly as possible;


• Assure that all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency and Medicaid requirements;


• Maintain medical record compliance/quality, as demonstrated by ≥95% compliance on Qualitative Record Reviews.

Requirements 

A Master’s degree in a Human Services field (such as Psychology, Social Work, etc.) is required, along with at least two years of post-degree progressive experience providing similar services to the population served. 

Additional Training Preferred:

• Experience in the public mental health field is highly desired due to the complexity of the work of the organization.


• Full or provisional N.C. License as a LCSW, LPC, LMFT, LCAS or LPA is required. Employee is responsible for complying with respective licensure board’s continuing education/training requirements in order to maintain an active license.

Knowledge and Skills 

• Exceptional interpersonal skills and communication ability


• Ability to make independent decisions based upon relevant facts. 


• Problem solving, negotiation, arbitration and conflict resolution skills working with both internal and external customers.


• Highly skilled at shifting between macro and micro level planning, maintaining both the big picture and seeing that the details are covered. 


• MH/SUD Care Coordinators must exhibit an extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) and have considerable knowledge of the MH/SUD/DD service array provided through the network of Alliance providers.


• Additional knowledge in Medicaid B and C waivers and URAC accreditation is essential. 


• The incumbent must be detail oriented, able to organize multiple tasks and priorities, and to effectively manage projects from start to finish.  


• Able to shift focus of his/her activities to meet changing priorities. 


• Proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.) is required. 


• Driver License required for position

Salary Range

$50,865 - $87,563

Licenses & Certifications

Required

• Driver License

Skills

Preferred

• Prioritization


• Multitasking


• Documentation


• Collaboration


• Communication

Behaviors

Preferred

• Team Player: Works well as a member of a group


• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well


• Innovative: Consistently introduces new ideas and demonstrates original thinking

Motivations

Preferred

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization


• Self-Starter: Inspired to perform without outside help


• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

See job description

Apply Now