Bay Cove Human Services’ mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program sites throughout Greater Boston and Southeastern Massachusetts.
Bay Cove Human Services is committed to ensuring the representation and participation of candidates from diverse backgrounds and experiences. We encourage all qualified individuals, particularly those from historically marginalized groups, to apply.
Job Summary:
The Administrative Coordinator (AC) collaborates with the CP Care Team in the provision of care coordination and care management for MassHealth Members with complex medical and behavioral health needs who are enrolled in an Accountable Care Organization (ACO) or Managed Care Organization (MCO) plan. The collaborates with the CP care team in an effort to minimize duplicative efforts, promote integrated care, ensure quality and continuity of care, and support the values of person centered planning, Community First and SAMHSA Recovery Principles.The AC assists the CP team in organizing and coordinating resources services in response to the Enrollee's healthcare needs across multiple settings, and inclusive of both LTSS and SHD needs. This role manages Team activities and creates and maintains operational systems to support the CP team in driving outreach and engagement, assessment and care planning, care transitions, health and wellness coaching, as well as community and social services connections. The AC partners with the Team Leader to ensure that all quality performance metrics are being met and that Enrollees are satisfied with services.
Essential Functions of the Position:
- Manage team tasks as required for team operations, including billing processes, Enrollee tracking and reporting.
- Create and maintain operational systems to ensure team's compliance to quality performance metrics and contractual obligations.
- Manage and monitor the process of securing authorization for services as well as maintain a directory of services and supports accessible to all team members including updating current member roster.
- Partner with the Team Leader in quality assessment and quality improvement activities such as data collection, reporting, analyses, and quality management.
- Manage information flow and work flows of team operations as well as ongoing training of team to information flow and work flows, particularly as related to care management technology and systems.
- Support collaborations with ACO/MCO plan staff and community based medical, specialty, behavioral health, and social services providers.
- Minimum of two years of experience in Human Services is required. Experience Working with people with psychiatric disabilities, rehabilitation and recovery and strong team skills preferred.
- A high school diploma or equivalent is required; BA/BS preferred.
- Strong organizational, time management, problem solving, interpersonal and customer relations skills.
- Knowledge of business communication formats (correspondence, memos, minutes, reports, financials, etc.) including ability to compose routine correspondence.
- Knowledge Of personal computer applications and equipment: Word, Excel, Outlook and record keeping systems.
- Ability To Exercise judgment and discretion in dealing with individuals and confidential matters.