$15.00 - $20.25 hourly
Maricopa County, AZ, USA
As a member of the Integrated Care Team, participates in the development of the integrated comprehensive assessment and Integrated Service Plan (ISP) and implements services to members in accordance with their plan and provides ongoing care and reviews progress. Coordinates with all involved healthcare, behavioral health and wellness providers and maintains current documentation on members’ progress in managing chronic medical and psychiatric conditions and assists the individual in achieving their recovery goals
ESSENTIAL JOB DUTIES AND RESPONSIBLITIES
Integrated Care Team. Works collaboratively with the integrated care team to engage, educate, communicate, and coordinate care with service participants, their family, behavioral health, medical and dental providers, community resources and others in ensuring that all services prescribed in the Integrated Service Plan are implemented. Develops and maintains and manages the Integrated Service Plan (ISP) within required timeframes.
· Adjusts the ISP and service delivery as needed based on progress/lack of progress in the specified health, wellness and behavioral health goals.
· Provides assistance in maintaining, monitoring and modifying covered behavioral health and healthcare services and community resource needs;
· Maintains the person’s comprehensive clinical record, including documentation of activities performed as part of the service delivery process (e.g., assessments, provision of services, coordination of care, discharge planning).
· Coordinates and communicates with Clinical Coordinators, Integrated Care Coordinators, nursing and medical and psychiatric practitioners for individuals exhibiting urgent or emergent medical and/or psychiatric symptoms.
· Participates in regular care team meetings and staffings and documents actions to modify service delivery based on progress, social determinants of health, health literacy, health care activation, current gaps in care, the Health Risk Assessment and level of self-management of chronic conditions.
· Provides continuous screenings and evaluations of treatment effectiveness for service referrals, including counseling, residential and supportive services and community resources. Makes recommendations for initial and concurrent authorization of service referrals .Participates in and supports fidelity of integrated care practice, including training, performance measurement and enhanced communication protocols for Integrated Care teams.
· Serves as the primary point of contact for the caseload, providing direct services including, but not limited to:
i. Telephone or face to face interactions with a person, family or other involved party for the purpose of maintaining or enhancing a person’s functioning within PIR timeframes;
ii. Assistance in finding necessary community resources other than covered services to meet basic needs;
iii. Ensures referrals to and provision of all covered services identified on the service plan within PIR timeframes; ensures continuity of care between levels of care and across multiple providers, services and supports;
· Provides outreach, re-engagement and follow-up services including, but not limited to, crisis and missed appointments
· Screens and assesses all persons on caseload for financial entitlements (AHCCCS, SSI/SSD etc.); completes AHCCCS applications on all members on caseload meeting criteria;
· Provides or arranges for transportation as appropriate and determined by the care team;
· Ensures that transfers to out-of-area, out-of-state or to an Arizona Long Term Care System (ALTCS) contractor, are coordinated as applicable;
· Assistance in maintaining and monitoring person’s court ordered treatment, i.e. COT appointment, court appointments, status reports, and tracking of IP hospital days, etc.
· Collaborates with the person and his/her family or significant others to implement an effective service plan, explaining the available clinical options to the team, including the advantages and disadvantages of each option.
· Pursues best practice outcomes for persons with mental illness including continuing education, employment, independent housing and community tenure.
· Consistently meet organizational encounter and performance goals , and follow clinical documentation standards as defined by company policy,
· Other duties as assigned.
To be considered a qualified behavioral health technician, a person must have one of the following combinations of education, license and/or behavioral health work experience:
Master’s degree in a behavioral health related field.
Bachelor’s degree in behavioral health related field required.
Master’s degree in non-behavioral health related field and 30 semester hours in behavioral health education.
Bachelor’s degree in non-behavioral health related field and at least (1) year of full-time behavioral health work experience.
Associate’s degree in behavioral health related field and two years of full-time behavioral health work experience.
Associate’s degree in non-behavioral health related field and 30 semester hours in behavioral health education and three years behavioral health work experience.
High school diploma or high school equivalency diploma and four years of full-time behavioral health work experience
Is licensed as a practical nurse, according to A.R.S. Title 32, Chapter 15, with at least two (2) years of full-time behavioral health work experience
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES
Must complete training and demonstrate competence in Integrated Care skills.
Effective interpersonal skills.
Good written and verbal communication skills.
Knowledge of psychiatric conditions.
Ability to follow directions.
Time management skills.
Computer Skills: Proficiency in typing, using computer software, i.e., Word, Excel, and PowerPoint and Internet is essential. Must be proficient in word processing, Word, Excel, and Power Point as well as possess the ability to learn new software systems.
Other : AZ valid Driver’s License, vehicle with state minimum insurance coverage and able to meet PIR company driving requirements and safety sensitive requirements. Safety sensitive is any job that includes tasks or duties that the employer in good faith believes could affect the safety or health of the employee performing the task or others.