Asian Health Services, founded in 1974, provides health, social, and advocacy services for all regardless of income, insurance status, immigration status, language, or culture. Our approach to wellbeing focuses on “whole patient health,” which is why we provide more than primary care services, including mental health, case management, nutrition, and dental care to more than 50,000 patients in English and 15 languages: Korean, Lao, Burmese, Mandarin, Cantonese, Spanish, Portuguese, French, Mien, Karen, Mongolian, Karenni, Tagalog, Khmer, and Vietnamese. We offer medical, dental, and mental health services for all ages.
JOB SUMMARY:
The Integrated Behavioral Health Care Coordinator (IBHCC) promotes improved access and care management for clinic patients who have medical and behavioral health care needs. This position is an essential member of the primary care team, maintaining strong relationships with primary care providers and behavioral health clinicians, facilitation integration of care, and coordinating services and follow up with patients and providers.
Essential Job Functions
- Accepts referrals of patients between medical and behavioral health providers to facilitate integration of care. In-person meeting with patients during medical of BH visit may be necessary to facilitate intake function
- Assists in establishing and maintaining smooth functioning and relationships between primary care providers, behavioral health clinicians, primary care consulting psychiatrists and other clinic departments.
- Ensures prompt follow up to care by coordinating appointments with patients and care providers
- Follow up with patients via phone or other forms of communication with regards to patient’s capacity to follow through with recommended care plans.
- Tracks client attendance, calls patients with day-before-appointment reminders, follows up on no-shows and addresses any barriers to care in order to support and improve continuity of treatment.
- Facilitates weekly clinical meetings, and supports team in following up with action steps.
- Facilitates communication with specialty mental health providers, community base agencies, for appropriate treatment, resource, services and supports.
- Identify gaps in services or barriers to care. Provides appropriate referrals to community resources, liaison with medical and mental health providers and troubleshooting integration efforts.
- Refers clients who are in crisis or requiring a higher level of care need to appropriate mental health services providers. Follow up with these individuals to confirm contact with service provider and develop any needed transition plans
- Manages transitions from specialty or inpatient psychiatric care from external agencies back to primary care. Coordinates services to facilitate integration of care to sure prompt medical and BH follow up as well as to minimize gaps in services.
- Represent AHS at external meetings, as appropriate.
- Data Management: Responsible for collecting and entering data regarding services provided to patients by the IBHCC, including services within the clinic and in the community
General Agency/AHS Duties
- Foster an environment that promotes trust and cooperation among clients and staff.
- Enforces clinic policies and procedures, including maintenance of client confidentiality under HIPAA privacy rules, to ensure that the principles of AHS are implemented.
- Play an active role in planning organization-wide activities such as AHS general membership meetings, fundraisers, special clinic days and other events when appropriate.
- Participate in general membership meetings, fundraisers and other public events, as requested.
- Participate in outreach activities, agency advocacy, and serves on ad hoc committees, as requested.
- Attends AHS staff meetings and retreats as necessary.
- Perform a variety of duties within the scope of the job, with the ability to change from one task to another of a different nature, as necessary, without loss of efficiency or composure.
- Participates in agency-wide quality improvement program processes and performance improvement teams
Minimum Qualifications
- Associate’s Degree in Health, Human Services, or Social Services field.
- Experience in health or social service setting.
- Knowledge of East Bay health and social services resources.
- Experience providing services to persons who are disabled, homeless, substance users, re-entry population, and/or psychologically impaired.
- Experience providing services to the immigrant and refugee communities of the East Bay
- Proficient in Microsoft Office (Word, Excel and Outlook) with ability to comprehend databases
Preferred Qualifications
- Bilingual in an Asian language strongly preferred.
- 2 years’ experience with essential duties above
Physical & Work Demands
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The job requires mobility to work in a clinic setting, strength to lift, carry and position supplies and small equipment; touch in order to conduct physical health assessments; vision to read handwritten and printed materials, and examine and observe patients; hearing and speech to converse in person and by telephone. The employee is occasionally required to lift 10 to 15 pounds.
- The job is performed in a moderate-to-loud work environment
BENEFITS:
Medical, Dental, Vision premiums 100% paid by AHS
12 Vacation Days
12 Sick Days
13 Holidays and 3 Floating Holidays
3% 403B Employer Contributions and up to 2% Employee Match Contribution
Transportation Benefit Paid by AHS
FSA/Dependent Care Assistance
Long Term Disability
