The Behavioral Health Coordinator (BHC) is responsible for providing on-site behavioral health coordination and support for patients enrolled in Psych Health Associates’ Behavioral Health Integration (BHI) program. This role manages an assigned caseload across multiple post-acute facilities, and ensures timely screenings, coordination activities, communication, and escalation of changes in condition.

The BHC serves as the primary point of contact at assigned facilities for day-to-day behavioral health coordination. Responsibilities include conducting required monthly behavioral health screenings, monitoring for changes in patient status, communicating with facility staff, and escalating clinically relevant information to the BHCM or psychiatric providers when indicated.

This role requires strong organizational skills, professionalism, cultural competence, the ability to work independently in the field, proficiency with electronic health records (EHR) and digital tools, and strict adherence to PHA’s policies, workflows, and documentation standards.

Key Responsibilities

Patient Coordination & On-Site Support

● Manage a caseload of patients enrolled in the behavioral health program. Caseload will be determined based on CMS regulations and VBC programs.

● Perform monthly behavioral health screenings as required based on individual patient needs and PHA protocols.

● Identify and promptly escalate changes in condition, safety concerns, or other clinical updates to the BHCM or appropriate clinical team.

● Support coordination of additional behavioral health services when indicated.

Facility Collaboration

● Serve as the primary on-site behavioral health coordination contact for assigned facilities.

● Communicate with facility leadership, nursing staff, therapy teams, social services, and IDT members to support continuity of behavioral health care.

● Assist with scheduling, coordination, and on-site logistics to support psychiatric and psychology services.

Documentation & Compliance

● Complete required monthly documentation accurately and on time, according to PHA policies and workflows.

● Maintain patient information, screenings, coordination activities, and communication records within the EHR.

● Adhere to all documentation, privacy, compliance, and behavioral health workflow standards.

Internal Operations & Escalation

● Collaborate with the BHCM on care coordination needs, caseload updates, and workflow execution.

● Participate in routine check-ins, supervision, and team meetings as assigned.

● Follow escalation pathways for clinically significant changes, facility concerns, workflow barriers, or safety-related observations.

Travel & Field-Based Expectations

● Travel between assigned facilities within a regional territory on a rotating or cycling schedule.

● Maintain professional conduct and communication across all facilities and patient interactions.

Qualifications

Required

● Experience working in healthcare, behavioral health, care coordination, case management, or related patient-facing work.

● Ability to manage a high-volume caseload and navigate multiple facility environments.

● Proficiency with electronic health records (EHR) and digital communication tools.

● Strong communication, organization, critical thinking, and follow-through.

● Demonstrated cultural competency and ability to work effectively with diverse populations.

● Reliable transportation and ability to travel within a defined region.

Preferred

● Experience in post-acute, skilled nursing, assisted living, or other long-term care settings.

● Experience supporting behavioral health services (clinical or non-clinical).

● Bilingual (e.g., Spanish) preferred but not required.

Physical Demands, Equipment, and Work Environment

● Regular travel between facilities within the assigned regional territory.

● Ability to sit, stand, walk, and move within facility environments for extended periods.

● Occasional lifting up to 20 pounds (e.g., equipment, materials).

● Frequent use of laptop, tablet, smartphone, and digital tools for communication and documentation.

● Work performed on-site in post-acute, skilled nursing, or long-term care facilities with typical clinical and administrative conditions.