Job Summary: This is a highly independent, professional position which facilitates authorizations and reviews utilization of mental health and substance abuse services provided in inpatient and intermediate care settings, as well as outpatient settings; collects and analyzes utilization data; and facilitates the care coordination process for behavioral health services for children in the child welfare system. The incumbent of this position serves as the Single Point of Access (SPOA) designee. This position is also responsible for direct supervision of assigned clinical team members. This position is supervised by the Director of Clinical Services.
Position Title: Behavioral Health Coordinator / Clinical Lead
FLSA Designation: Exempt
EEO Category: Professional
Hiring Range: $44,000 – $54,332.72
Mission: To enhance the community’s ability to protect and nurture children by building, maintaining and constantly improving a network of family support services.
Vision: To be a recognized leader in protecting children and strengthening families through innovative evidenced-based practices and highly effective, engaged employees and community partners.
Core Principles: To provide a safe environment for all children. To respect the inherent dignity of children and families.
Competencies: Ability to be proactive, decisive and employ crisis intervention principles appropriately. Ability to perceive and communicate with sensitivity and without judgement while respecting each person’s potential.
Core Functions: Provides clinical insight and assistance regarding children placed in high end placements to ensure needs are met accordingly.
- Identify clinical systemic gaps and population-specific needs.
- Coordinate suitability assessment process for children needing a higher level of care.
- Display understanding of, and sensitivity to, service population’s cultural and socioeconomic characteristics.
- Provide telephone triage, crisis intervention and emergency authorizations and/or resources.
- Assist network development by identifying gaps in the network and quality providers.
- Monitor inpatient and intermediate level of care services related to mental health and substance abuse treatment to ensure medical necessity, treatment effectiveness, and timely discharges. Perform concurrent reviews for inpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develop discharge plans and oversee their implementation.
- Provide supervision, guidance, and support to clinical team members.
- Provide clinical consultation as needed in internal and community-based staffings.
- Coordinate and/or attend Multi-Disciplinary Team staffings and related clinical meetings/activities.
Core Principles: To make prevention of child abuse and neglect a community priority. To recognize that more can be done with communities and families as partners.
Competencies: Ability to network with, educate and involve community stakeholders. Identifies and understands what resources are available, and builds and maintains effective working relationships with a network of systems.
Core Functions: Engages in networking and collaboration with community partners.
- Serves as Single Point of Access for behavioral health-related issues for Medicaid and managed care plans; liaise with PSF staff, providers, and case management agency partners to coordinate behavioral health services.
- Attend Community Behavioral Health Consortiums and other identified behavioral health taskforce meetings in PSF’s catchment area.
- Interact with providers in a professional, respectful manner that facilitates the treatment process; build community partnerships and participate in community events when indicated.
- Ensure compliance with agency operating procedures, plans, and governing principles in Florida Statutes and the Florida Administrative Code.
Core Principles: To commit to accountability using outcomes to measure performance and improve practice.
Competencies: Commitment to ensuring accountability and a results-based orientation.
Core Functions: Uses multi-level tracking and coordination of systems to ensure necessary measures are continually monitored and addresses concerns as needed.
- Create and manage database of all eligible Medicaid clients. Responsible for required reports, data collection, and measurement including evaluation tools, data analysis and report writing.
- Conduct utilization management of children in Medicaid reimbursed placement levels and ensure eligible children are placed and monitored in the appropriate levels of care.
- Manage and track Comprehensive Behavioral Health Assessment process; provide support to CBHA providers; review completed assessments for clinically-appropriate recommendations.
- Provides documentation to the Director of Clinical Services in matters of hiring and discipline but lacks the ability to unilaterally hire and terminate.
- Bachelor’s degree in social work, health care administration, or other human services related field.
- A minimum of three (3) years relevant post-degree experience in mental health and/or substance abuse health care, utilization management or child welfare.
- Previous supervisory experience in child welfare and/or mental health.
- Possession of a Valid Florida Driver’s License, maintain an acceptable driving record, and accessibility to reliable transportation.
- Master’s Degree in social work, health care administration, or other human services related field with a minimum of two (2) years relevant post-degree experience in mental health and/or substance abuse health care, utilization management or child welfare.
- Experience working with the Child Welfare System in Florida.
- Experience with managing processes and/or staff.
Knowledge, Skills, and Abilities:
- Ability to work independently.
- Ability to collect, evaluate, and analyze data to develop alternative recommendations, solve problems, document work flow and other activities relating to the improvement of operational and managerial practices.
- Effective verbal and written communication skills.
- Good organizational skills.
- Proficiency using software programs such as MS Word, Excel, Outlook, and web-based software and electronic health records.
- Knowledge of family safety and preservation, theories and practice of child protection, counseling, social work, investigations, and family assessments.
- Skill in development of requests for proposals, contract evaluations and contract management.
- Ability to develop policies, procedures, standards, and rules.
- Ability to develop methods for monitoring and evaluating quality and effectiveness of service and compliance with rules, policies, and statutes.
- Ability to establish and maintain effective working relationships with others.
- Ability to conduct effective case staffings and other meetings.
- Team facilitation and leadership skills with demonstrated ability to partner with collaterals and service providers
- Knowledge of utilization management procedures, mental health and substance abuse community resources and providers; knowledge and experience in inpatient setting; ability to function independently and as a team member; knowledge of DSM.
Sitting – 50%
Standing – 10%
Mobility (moving between internal offices) – 40%
Kneeling/Bending/Stooping – 0%
Reaching, overhead – 0%
Speaking – Yes
Hearing – Yes
Reading Comprehension – Yes
Ability to Lift and carry up to 25 pounds.
Same Day – Occasional
Overnight – Infrequent
Weekend and Nights – Infrequent
Infrequent (2 to 3 times year)
Occasional (2 to 3 times Month)
Frequent (2 to 3 times Week)
PFSF is an Equal Opportunity/Affirmative Action/ Drug Free Work Place and does not tolerate discrimination or violence in the workplace. Applicants requiring a reasonable accommodation as defined by the Americans with Disabilities Act, must notify the Human Resource Department at 1-352-244-1527. Notification to the Human Resource office must be made in advance to allow sufficient time to provide the accommodation.
Drug Free Workplace: PSF maintains and enforces a Drug-Free Workplace program. New employees are required to be drug tested prior to employment. In appropriate circumstances, current employees may also be required to submit to drug and/or alcohol testing. Information on the Drug-Free Workplace Policy is contained in the Employee Handbook and set forth in the Drug-Free Workplace Policy, both of which are available through the organization’s inter/intranet.