About Fallon Health:
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options program. Navicare integrates care for adults age 65 and older who are dually eligible for both Medicare and MassHealth Standard. A personalized primary care team manages and coordinates the NaviCare member’s health care by working with each member, the member’s family and health care providers to ensure the best possible outcomes.
Brief summary of purpose:
Responsible for assessing an enrollee’s mental health status and developing a plan to coordinate a continuum of care consistent with the enrollee’s mental health needs and goals. Serves as an active participant on the patient care team (PCT) and an advocate for the enrollee for all behavioral health needs. The BHC is actively involved in with the enrollee from time of psychiatric admission through discharge and ensures all PCT members and healthcare provides are aware of enrollee’s status. Facilitates prompt access to outpatient mental health supports consistent with appropriate clinical guidelines. Regularly coordinates mental health benefits and coordinates supports, consultations, or care planning with Beacon Health Strategies representatives. The BHC also assesses the need for and coordinates further evaluation or treatment.
Assessment and care plan coordination
Clinical documentation and data management and reporting
Provides training and consultation
Master’s Degree in social work, psychology or nursing required
LICSW or LMHC or nurse required.
Certification relevant to areas of clinical practice in behavioral health highly preferred (i.e. Certificate of Geriatric Study, Certified Case Manager)