Behavioral Health Care Advocate Job Description

Behavioral Health Care Advocate Job Description

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Behavioral health care advocate provides utilization review services through review of outpatient behavioral health and substance abuse services for medical necessity, appropriate level of care, and quality.

Behavioral Health Care Advocate Duties & Responsibilities

To write an effective behavioral health care advocate job description, begin by listing detailed duties, responsibilities and expectations. We have included behavioral health care advocate job description templates that you can modify and use.

Sample responsibilities for this position include:

Attends clinical rounds with BH staff and is able to appropriately provide case input escalate any identified issues to Clinical Manager or MD
Facilitate enrollment of consumers to programs or provider agencies
Providing high quality customer service as identified by Advocacy department quality standards
Using independent problem solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution
Understanding the business needs of the role, while balancing the needs of the customer (Advocacy department quality standards )
Taking an educational approach to ensure callers are able to understand the complexities of accessing care
Support the mental and physical health care of patients on an assigned patient caseload
Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments
Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s medical provider
Review of members’ medical records from providers to determine if mental health and substance abuse services delivered are medically necessary, if they are coordinated with other services and providers, if providers have individualized treatment plans for members

Behavioral Health Care Advocate Qualifications

Qualifications for a job description may include education, certification, and experience.

Education for Behavioral Health Care Advocate

Typically a job would require a certain level of education.

Employers hiring for the behavioral health care advocate job most commonly would prefer for their future employee to have a relevant degree such as Master's and Bachelor's Degree in Psychology, Social Work, Counseling, Health, Marriage and Family Counseling, Public Health, Coaching, Communications, Nursing, Education

Skills for Behavioral Health Care Advocate

Desired skills for behavioral health care advocate include:

ACS
ACT
AOT
Excel spreadsheets
Health Home
Level of Care Guidelines
Forensic and others
Medi-Cal system
Provider availability and barriers to access
Microsoft Word and Excel

Desired experience for behavioral health care advocate includes:

Ability to work with patients by telephone in person
Ability to convey complex or technical information in a manner that others can understand, ability to understand and interpret complex information from others
Must be an independently licensed Masters - level mental health professional, licensed Ph.D
2+ years post-Masters experience in a related Substance Abuse Treatment environment
Must reside in the greater Seattle, WA area
Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or a Registered Nurse or Nurse Practitioner with 2 or more years of experience in behavioral/mental health

Behavioral Health Care Advocate Examples

1

Behavioral Health Care Advocate Job Description

Job Description Example
Our growing company is looking for a behavioral health care advocate. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for behavioral health care advocate
  • Complete continued stay reviews for inpatient or partial hospitalization admissions for our members with psychiatric and/or chemical dependency diagnoses
  • Provides direct oversight to a team of Care Advocates on the Public Sector Outpatient and IOP UM Team
  • Monitor and consistently meet departmental quality and performance standards for clinical staff
  • Accountable for ensuring that the team meets or exceeds metric goals and utilization management targets
  • Responsible for consulting on the production and use of data, reporting, and analytics for successful team performance and productivity
  • Responsible for collaboration with peer functional leaders to ensure effective, interactive workflows and support for the consumer
  • Accountable for maintaining and improving team Vital Signs scores, Employee Engagement scores, and working towards increasing ALERT customers’ Net Promoter Scores
  • Accountable for development and application of ALERT processes and workflows across a variety of markets, each with its own complex set of services and requirements
  • Responsible for ensuring implementation of ‘best practices’ within the levels of care managed by the team, ongoing adherence to these best practices
  • Responsible for ensuring recovery and resiliency principles are utilized, translating these into meaningful processes and offerings for consumers
Qualifications for behavioral health care advocate
  • Licenses must be active and unrestricted in California
  • Must live within a commutable distance of our San Francisco office location
  • Must be available to work evenings, nights, weekends and holidays
  • Must have access to high speed internet and live within 1 hour of a UHG office
  • No caseload
  • Must be able to assess individuals independently and without supervision
2

Behavioral Health Care Advocate Job Description

Job Description Example
Our company is looking for a behavioral health care advocate. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for behavioral health care advocate
  • Oversight and implementation of disaster recovery response in the event of critical vendor, system, or facility outages
  • Accountability with Director and VP for effective collaboration with Market Leaders to ensure performance targets are supported through functional team activity
  • Utilization Management of cases
  • Administer benefits and reviewing treatment plans
  • Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
  • Participate in the ongoing identification of members who may qualify for ancillary services
  • Serve as an Optum behavioral health liaison and subject matter expert for Texas UnitedHealth Care Medical Partners
  • Contribute to treatment plan discussions
  • Identify new programs, services and gaps in market
  • Screens, identifies and obtains approval on high - risk / cost, catastrophic, long term chronic cases which will benefit from care management services
Qualifications for behavioral health care advocate
  • Prefer managed care background/experience
  • Licenses must be active and unrestricted in TX
  • Must live within a commutable distance of our Richardson, TX office location
  • License must be active and unrestricted in California
  • IOP experience
  • Licensed Master's degree clinician in Psychology, Social Work, Counseling or Marriage and Family Counseling, or a Licensed Ph.D
3

Behavioral Health Care Advocate Job Description

Job Description Example
Our company is growing rapidly and is looking for a behavioral health care advocate. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for behavioral health care advocate
  • Works closely with the local MH plan and county department responsible for substance use treatment to execute and update as needed Memoranda of Understandings for how the health plan, the local MH plan, and county department will work together to the benefit of their shared members
  • Participates in the identification of best practices for BH in a primary care setting
  • Ensure members who need Specialty MH Services (services outside the scope of practice of Primary Care Providers) are referred to and are provided mental health resources
  • Serve as an Optum behavioral health liaison and subject matter expert for MA UHC SCO
  • Understanding the business needs of the role, while balancing the needs of the customer
  • Conducts comprehensive behavioral health screenings in a dynamic environment to include jail and other settings
  • Review available behavioral health history to coordinate services and assure appropriate level of care for clients
  • Responsible for identification, awareness and establishing contacts of specific community resources for AB109 Population and the enrollment process
  • Leads coordination of appropriate level of care linkage for Post Release Offenders to community behavioral health and ancillary services
  • Guides the provision of short term clinical case management to ensure continuity of behavioral health and medical services
Qualifications for behavioral health care advocate
  • Dedicated, distraction-free work space in your home for a home office with access to cable/DSL high speed internet
  • Master degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling OR Ph.D or PsyD in Psychology
  • Must be fully licensed
  • The ideal candidate must have a background or knowledge of behavioral therapy techniques for children, specifically Applied Behavior Analysis
  • Candidates must possess very strong verbal and written communication skills
  • Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling
4

Behavioral Health Care Advocate Job Description

Job Description Example
Our company is growing rapidly and is looking for a behavioral health care advocate. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for behavioral health care advocate
  • Navigates and advocates within behavioral health system of care on behalf of AB109 clients as needed
  • Models and engages clients to participate in screening process and work collaboratively within a multi-disciplinary team to develop case plans, provide linkage to care based on their individual needs, preference and objectives
  • Exemplifies the use of motivational interviewing techniques to help clients identify and understand intrinsic goals and engage in behavior change
  • Participates in ongoing multi-disciplinary team meetings providing education and consultation with regards to linkage to behavioral health and ancillary services within system of care
  • Guides clinical care consultations with California Department of Corrections and Rehabilitation personnel, San Diego Sheriff’s department, probation officers, and community treatment providers
  • Advances the troubleshooting of internal and external problems
  • Assess for safety risks/provides crisis intervention and behavioral health screenings for AB109 population
  • Receives and reviews clinical screenings, linkage and levels of care requests
  • Assist in orientation of Behavioral Health System of care to Probation partners
  • Provides ongoing education of behavioral health system of care to providers, consumers and other stakeholders
Qualifications for behavioral health care advocate
  • Basic Microsoft Word, Outlook, and Excel skills
  • Must be able to work the second shift as indicated above
  • Assess and triage experience
  • Ability to travel within designated region of Texas as needed to meet with members, providers, Prefer Harris County (Houston)
  • Independently Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in BH
  • Reliable transportation and the ability to travel as needed within the designated service delivery area (up to 50%)
5

Behavioral Health Care Advocate Job Description

Job Description Example
Our company is growing rapidly and is hiring for a behavioral health care advocate. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for behavioral health care advocate
  • Maintain timely and appropriate clinical documentation records in San Diego County Probation and Behavioral Health Electronic Health records
  • Use of technological systems to support clinical delivery of services
  • Requires access to Cerner Electronic Health Record which includes Protected Health Information and Probation Case Management System
  • Responsible for inbound commercial member behavioral health calls
  • Support day to day operations of team as subject matter expert for department Review staff member assessments and collaborate with medical peers to determine appropriate levels of care
  • Manage escalated concerns/cases to resolution
  • Make patient assessments and determining appropriate levels of care (could include inpatient, residential, and partial levels of care)
  • Utilize advanced clinical skills to assess, engage and motivate Consumers via a recovery, health and wellness-oriented approach
  • Serve as an Optum Behavioral Health liaison and subject matter expert for UnitedHealth Care or Commuity and State Medical Partners
  • Focus on initial and concurrent reviews for psychiatric and chemical dependency patients for Intensive Outpatient (IOP) level of care
Qualifications for behavioral health care advocate
  • Must have a distraction-free space for a home office with access to high speed internet (DSL/Cable)
  • Licenses must be active and unrestricted in California, Texas or Oregon
  • Licenses must be active and unrestricted in Rhode Island
  • Ability to travel within designated region of Rhode Island as needed to meet with consumers, providers
  • 2+ years of experience in a behavioral/mental health setting
  • Residence within a commutable distance of our Latham, NY office location highly preferred

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