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Health Home Coordinator

Behavioral Health Group
Westerly, RI Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 4/28/2025

Health Home Coordinator - travel required

Locations : Johnston & Westerly

Schedule : 2 days Johnston, 2 days Westerly, 1 day remote

Starting Pay Range : $31-$32 per hour

Requirements : Master's degree, RN, or equivalent in Social Services, Psychology, Social Work, or Criminology from an accredited institution.

Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment services. We are dedicated to helping individuals overcome substance use disorders. With over 110 locations in 22 states, our team of more than 1,900 employees serves over 42,000 patients.

Overview :

The Health Home Coordinator will lead and manage the Health Home (HH) Team to ensure high-quality support and comprehensive care for patients. This role involves identifying OTP (Opioid Treatment Program) patients, conducting outreach, assessing needs, and developing individualized care plans in collaboration with patients. Key duties include assigning team roles, establishing care protocols, monitoring treatment progress, and implementing quality improvement (QI) activities to enhance patient care. The Health Home Coordinator also supervises case managers, facilitates team meetings, and manages patient engagement strategies, covering all aspects of Health Home services such as care management, care coordination, health promotion, transitions of care, and community referrals.

Key Responsibilities :

Primary Duties :

  • Facilitate Medicaid enrollment and automatic enrollment in the Health Home program, offering opt-out options.
  • Monitor and bill Health Home service notes using SAMMS.
  • Develop and implement a flexible, patient-centered care plan addressing clinical and non-clinical needs; update care plans based on any health changes.
  • Collaborate with Health Home nurses and providers on discharge planning for OTP patients and new referrals.
  • Coordinate access to preventive, health promotion, mental health, and substance use services.
  • Support continuity of care through comprehensive care management, care coordination, and transitional care.
  • Connect patients to community resources, social support, long-term care, and recovery services.
  • Educate and assist new patients in understanding and enrolling in the Health Home Program.
  • Offer practical support, advocacy, and problem-solving assistance to patients.
  • Provide nutritional education related to specific medical issues and conduct wellness interventions.
  • Maintain agreements with local hospitals and healthcare providers to support transitional care and enhance patient outreach.
  • Oversee a continuous quality improvement program, collecting data to evaluate and improve care coordination, outcomes, and service quality.

Regulatory Compliance :

  • Ensure compliance with all federal, state, and local regulations and accrediting agencies.
  • Commitment to Diversity :

  • Support and contribute to an inclusive work environment, embracing diversity.
  • Minimum Qualifications :

  • Master's degree, RN, or equivalent in Social Services, Psychology, Social Work, or Criminology from an accredited institution.
  • Familiarity with behavioral health and related experience.
  • Strong integrity and excellent communication skills to engage with diverse backgrounds.
  • Structured approach to handling high caseloads.
  • Ability to work at other BHG Rhode Island locations as needed.
  • Physical Requirements :

  • Variable workload, with periods of high activity.
  • Visual acuity for reading and computer work.
  • Ability to sit for extended periods, with occasional bending and stretching.
  • Effective verbal communication skills for in-person and phone interactions.
  • Ability to perform keyboarding for extended periods.
  • Why Join BHG?

    Work-Life Balance : Enjoy generous paid time off, holidays, and personal needs. Benefit from flexible schedules with early in / early out hours, no nights, and no Sundays. Manageable Workload.

    Investment in Your Growth : Prioritize your development with role-based training and advancement opportunities.

    Comprehensive Benefits : Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy tuition reimbursement and competitive 401K match.

    Recognition and Rewards : Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.

    Employee Perks : Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self-care series.

    At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.

    BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity / expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.

    Salary : $31 - $32

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