Behavioral Health Care Coordinator
About the role
Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
What You’ll Do
As a Behavioral Health Care Manager (BHCM) at Imagine Pediatrics, you will work with the families of children with special healthcare needs, providing case management services for members enrolled in Imagine Pediatrics care model. You will work alongside pediatricians, nurses, care coordinators, and other healthcare professionals. Your primary responsibilities will include:
- Monitor high-risk pediatric patients (up to 21 years old), including those recently discharged from the hospital, ensuring appropriate follow-up and assistance with meeting resource needs (food, housing, etc).
- Conduct comprehensive assessments to address behavioral, social, emotional, and systemic needs of patients and families; provide referrals based on identified needs; and ensure caregivers and patients receive prompt, coordinated communication.
- Perform daily tracking of family needs, continuously evaluate the effectiveness of the patient/family care map, and modify plans based on evolving needs and goal progression.
- Maintain timely, accurate clinical documentation for each family; utilize Athena and other internal systems to close patient visits and charts within required timeframes.
- Provide interventions aligned with the social, emotional, and physical needs of patients and caregivers, including de-escalation of mental health crises, behavioral issues, and family conflict; escalate high-risk patients through appropriate pathways.
- Facilitate case management requiring clinical expertise across various systems, helping patients and families navigate the complexities of mental health diagnoses.
- Research and resource validated external services to meet behavioral and social needs.