Integrated Child Liaison

The Integrated Health Child Liaison will build trusting and supportive relationships in order to support pediatric members with complex behavioral health needs to remain stable in the least restrictive setting. This role will perform assessments targeted at specific interventions to support members in meeting individualized care goals. This role will have a particular focus on working with children and adolescents in substitute care, collaborating with Rhode Island Department of Children, Youth, and Families (DCYF) and the Executive Office of Health and Human Services (EOHHS) as the Child Liaison. Works collaboratively with other care team members and any external provider agencies to ensure continuity and culturally competent, integrated community-based care.

Duties and Responsibilities:

Responsibilities include, but are not limited to, the following:

• Collaborate with the Department of Children, Youth and Family Services (DCYF) and Home-Based Treatment Services (HBTS) agencies to remove gaps and barriers to care and ensure a holistic care approach; participate in meetings as necessary.

• Makes community and home visits to members to perform assessments on member's complex social and behavioral health needs. Ensure connections to appropriate psychiatric, medical, and psychosocial referrals and services

• Provide short term case management and consultation to providers, group home, foster homes, members and/or their families on a variety of issues including in network and community referrals, benefit information.

• Completes hospital visits to support transitional care management process.
• Performs post-discharge assessments and interventions aligned with individualized member needs.
• Support members in actively participating in their care plan interventions to achieve their short- and long-term goals.
• Support the development of a transition plan for assigned youth who are transitioning from foster care to independence, including working with community agencies to enhance available services and support.
• Coordinates the provision of services/care to meet the member's social and health needs. Aids members, families and caregivers to access basic resources such as food, shelter, transportation.
• Identifies potential medical or behavioral health concerns and collaborates with member's providers.
• Collaborates with other health professionals, including contacting primary care provider offices, care management staff and community social service agencies on behalf of the member.
• Contribute to treatment plan discussions; routinely attend clinical rounds and other meetings with medical partner or external entities, when applicable

• Maintains appropriate written and oral communication and documents patient encounters and updates the care management software system within established time frames.
• Maintains member confidentiality within legal and regulatory parameters.
• Other duties as assigned
• Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agent

Qualifications

Required:

• Active, current, unrestricted RN, LICSW, LCDP or LCSW license in RI in good standing

(Consideration will be given to individuals without current RI license. Must provide documentation confirming application within 24 hours of offer)

• Minimum of three (3) years experience medical experience
• Minimum of three (3) years experience in children's behavioral health or child welfare system
• Demonstrated experience working with Medicare/Medicaid (MMP), Medicaid, Medicare or commercial products
• PC based software programs - intermediate level of proficiency
• Strong organizational and interpersonal skills
• Dependability and flexibility- able to shift priorities to manage complex behavioral health needs
• Customer service orientation
• Must have access to reliable transportation to perform assessments in the community. If using personal vehicle, must have active driver's license and auto insurance. Frequency of travel: daily
• Must be comfortable completing visits independently and/or as a team in various community settings which may include, but not limited to, member homes, group homes, shelters, provider offices
• Physical ability to perform assessments in the community

Preferred:

• Bachelors degree
• Masters degree
• Bilingual
• Utilization Management or Post-discharge experience
• Experience in an inpatient setting
• Dual diagnosis experience with mental health and substance abuse
• Experience in a community mental health setting
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Previous experience in a managed care environment
• Previous case management experience
• Experience with the Medicaid/Medicare population
• Deep understanding of available resources and unique needs of youth in the state of Rhode Island

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.