Sterling Health Solutions, Inc.

Job Description

Title: Clinic Patient Coordinator/BH Care Manager

Supervisor(s): Director of BH/SA Services

Department: BH Services

Effective Date: September 12, 2012

Job Summary

The BH Care Manager is responsible for supporting the overall health of patients by providing direct support to all BH providers and ensuring the quality of the BH service line. This includes providing appropriate coordination of services, education, and connecting patients to services that improve health status and patient satisfaction.

Duties and Responsibilities

1. Interface with BH patients regarding questions/concerns, scheduling issues, or other needs.
2. Assist BH providers (LCSWs and psychiatric prescribers) in all capacities, including but not limited to: prior authorizations for medications, letters/forms requested by patients, scheduling/rescheduling patients, and patient education.
3. Assist and oversee the MHI Coordinator(s) to ensure that patients referred for BH services get the care they need.
4. Assist and oversee services for outside agencies contracting with SHS for BH services.
5. Assist Director of BH Services with required clerical duties/audits of BH team members, including assigning peer reviews to BH providers quarterly.
6. Complete SPAT for MHI Coordinator(s) monthly.
7. Assist Director of BH Services with managing PTO/CEU requests for BH team members.
8. Assist the Director of BH services with developing and implementing new/updated policies and procedures for the BH service team.
9. Assist in educating other departments at SHS what services are offered by the BH team in the integrated care model and proper procedure for accessing BH services.
10. Develop and maintain database for tracking KASPERS, UDS and CSA for client’s prescribed controlled substances by BH prescribers to ensure required documentation is obtained/maintained.
11. Provide information and services in a fair, accurate and impartial manner acknowledging other health programs.
12. Provide information in a manner culturally and linguistically appropriate to the needs of the population being served.
13. Work with prescription assistance programs and 340B pharmacies to assist patients in obtaining needed medications.
14. Provide referrals to needed services such as transportation, housing, child advocacy, dental, substance abuse, health education, nutrition counseling, food banks, and employment assistance.

Duties and Responsibilities – Overall

1. Appropriately handle patient concerns and complaints.
2. Assist in creation of implementation of policies and procedures.
3. Participate in Quality Assurance/Performance Improvement Committee.

Knowledge, Skills and Abilities

Required

• Maintain patient confidentiality at all times
• Be courteous and respectful to patients and co-workers at all times
• Ability to work effectively with providers, staff, and third party payors
• Ability to work independently, establish priorities, and coordinate work activities
• Ability to work under pressure
• Ability to use good judgment to accomplish goals
• Ability to identify and access resources
• Ability to communicate effectively with a diverse group of individuals
• Knowledge of the community/population served
• Ability to “empower” clients – identify problems and resources to help them solve problems themselves

Credentials and Experience

Required

• High School Diploma or GED On-the-job Training

Special Requirements

Requires sitting, standing and walking for extensive periods of time. Requires working under stressful conditions or working irregular hours. Requires frequent exposure to communicable diseases, body fluids, toxic substances, medicinal preparations and other conditions common to a clinic environment. The employee frequently is required to reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to work with a moderate noise level in the work environment is required.

The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.

If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.

not be performed in a satisfactory manner by the employee, reasonable accommodations may be made.