Care Facilitator - Behavioral Health Atrius Health

• Facilitates the process of care for at risk patients coordinates an accessible plan of care and tracks adherence
• Serves as a liaison between the primary care team behavioral health clinicians and patient and/or patient's family
• Develops 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 team
• Tracks patient adherence with scheduled appointments labs studies referrals and prescription compliance
• Serves 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 reports
• Contacts 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 patient
• Ensures all necessary documentation is entered into patient's electronic medical record
• Assures 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 reviews
• In collaboration with clinical team identifies relevant patient education materials and community resources and distributes to patients
• Maintains a list of current community resources for frequently encountered issues. Confers with primary care social workers as needed
• Documents 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 activities
• Ability to assist with cross coverage
• Performs other duties as assigned
• Expected to be on site a minimum of once a week that could be at any of the sites supported by the Quincy BH Hub

• High School diploma or equivalency certificate (e.g. GED HiSET TASC Test) from an accredited institution or governmental unit
• 3+ years of experience in a clinical or social services setting
• Computer skills that include proficiency with electronic medical records (EMR) Microsoft Office - especially Word and Excel
• Knowledge and understanding of medical terminology
• Solid interpersonal and communication skills needed with the ability to interact effectively with patients and medical professionals

• Experience in a Behavioral Health-related setting
• Ability to demonstrate a high level of cultural competence and sensitivity to patient needs and concerns
• Ability to engage patients in problem solving
• Sound judgment with the ability to work and make decisions in a fast-paced environment
• Excellent telephone skills strong customer service and ability to build relationships with patients
• Ability 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 applications
• Performs all job functions in compliance with applicable federal state local and company policies and procedures
• Accesses only the minimum necessary protected health information (PHI) for the performance of job duties
• Complies with all Atrius Health and departmental privacy policies procedures and protocols

What We Do

Optum part of the UnitedHealth Group family of businesses is a global organization that delivers care aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best. Here you will find a culture guided by inclusion talented peers comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum we support your well-being with an understanding team extensive benefits and rewarding opportunities. By joining us you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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