Behavioral Health Complex Care Manager

POSITION SUMMARY:The Complex Care Manager works with relevant stakeholders to identify and engage clients in intensive clinical care management with a focus on successfully addressing client’s behavioral health and social determinants of health, improving patient experience, advancing health and reducing cost. The services focus on high risk and complex clients who have a pattern of inpatient admissions, high utilization of emergency services, difficulty engaging with outpatient treatment and may also be medically complex. The role requires assertive outreach, advocacy, service coordination, monitoring, follow up and general assistance to help clients manage barriers that may impede access to clinical services and progress in their recovery. This position supports clients across Boston and will require in-person visits to members in the community. Excellent interpersonal skills, patient engagement skills and the ability to work independently and collaboratively are key requirements of the job. Clinical experience working with behavioral health conditions prevalent within the Medicaid population including psychotic disorders, personality disorders, and substance use disorders is necessary. Care managers collaborate closely with providers throughout the health system including outpatient therapists, psychiatrists, pharmacists, and PCPs as well as develop partnerships with other community resources.Position: Behavioral Health Complex Care Manager        Department: Pop-Health Care ManagementSchedule: Full TimeESSENTIAL RESPONSIBILITIES / DUTIES:Identify and engage appropriate clients for complex care management from lists and referrals, in collaboration with supervisor and other program leads.Ability to execute core care management duties:Comprehensive assessment: bio-psycho-social-spiritualCollaboration with client and care team to develop client-centered care planRefer clients to all necessary services including, but not limited to, medical treatment, behavioral health/substance use treatment, financial assistance, child-care, housing, food, clothing, vocational services, and transportationProvide consistent outreach and support services to enable clients to utilize clinical treatmentMonitor clients utilization of care across the care continuum, including Emergency Department Visits and inpatient admissionsCollaborate with community partners, such as medical providers, substance use disorder/mental health service providers, and social service agencies;Assessment of goal completion, with transition of client to ongoing supports upon graduation from programProvide mobile care management in the community to meet client’s needs including participating in off-site discharge planning meetings, and visiting clients at local programs, shelters or their homes if indicatedFacilitates interdisciplinary consultation on client’s behalf through participation in team meetings, clinical reviews, and collaboration with client’...