Care Facilitator - Behavioral Health, Atrius Health

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.This role supports coordinated, patientcentered care for atrisk individuals by facilitating care plans, monitoring adherence, and serving as a key liaison between primary care, behavioral health teams, and patients or their families. Responsibilities include assessing social, cultural, and health literacy factors affecting care; tracking appointments, referrals, tests, and medication compliance; and conducting outreach through phone. The position manages and analyzes data, prepares summary reports and presentations for clinicians, and ensures accurate documentation in the electronic medical record.Primary Responsibilities:Facilitates the process of care for at risk patients, coordinates an accessible plan of care and tracks adherenceServes as a liaison between the primary care team, behavioral health clinicians and patient and/or patient's familyDevelops an understanding of patient's circumstances, health literacy, language and cultural beliefs or other social challenges impacting patient care or compliance and documents in medical record, as appropriate. Shares information learned with health care teamTracks patient adherence with scheduled appointments, labs, studies, referrals, and prescription complianceServes as a resource in the collection and management of data, generation of reports, patient outreach and tracking of patient progress. Extracts and analyzes data; creates presentations to inform clinicians of analysis and summary reportsContacts patients via telephone calls, MyHealth and/or direct mailings. Guides patients through process of care including transitions, providing directions, identifying barriers and approaches, serving as advocate and facilitator. Supports communication with clinicians and validates patient understanding. Confers with primary care case manager or other resources to facilitate assistance for patientEnsures all necessary documentation is entered into patient's electronic medical recordAssures that all medical records and documents are obtained from providers and schools in a timely fashion to have readily available for patient visits and roster reviewsIn collaboration with clinical team, identifies relevant patient education materials and community resources and distributes to patientsMaintains a list of current community resources for frequently encountered issues. Confers with primary care social workers as neededDocuments processes and standard work. Works with clinicians and management to identify opportunities to improve quality performance and implement recommended changes. Actively participates in care improvement activitiesAbility to assist with cross coveragePerforms other duties as assignedExpected to be on site a minimum of once a week, that could be at any of the sites supported by the Quincy BH HubYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit3+ years of experience in a clinical or social services settingComputer skills that include proficiency with electronic medical records (EMR), Microsoft Office - especially Word and ExcelKnowledge and understanding of medical terminologySolid interpersonal and communication skills needed with the ability to interact effectively with patients and medical professionalsPreferred Qualifications:Experience in a Behavioral Health-related settingAbility to demonstrate a high level of cultural competence and sensitivity to patient needs and concernsAbility to engage patients in problem solvingSound judgment with the ability to work and make decisions in a fast-paced environmentExcellent telephone skills, strong customer service and ability to build relationships with patientsAbility to use all electronic tools and applications relevant to the performance of the duties of the position, including but not limited to phone, keyboard, computer and computer applicationsPerforms all job functions in compliance with applicable federal, state, local and company policies and proceduresAccesses only the minimum necessary protected health information (PHI) for the performance of job dutiesComplies with all Atrius Health and departmental privacy policies, procedures and protocolsPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.