Asian Health Services, founded in 1974, provides health, social, and advocacy services for all regardless of income, insurance status, immigration status, language, or culture. Our approach to wellbeing focuses on “whole patient health,” which is why we provide more than primary care services, including mental health, case management, nutrition, and dental care to more than 50,000 patients in English and 15 languages: Korean, Lao, Burmese, Mandarin, Cantonese, Spanish, Portuguese, French, Mien, Karen, Mongolian, Karenni, Tagalog, Khmer, and Vietnamese. We offer medical, dental, and mental health services for all ages.

The Integrated Behavioral Health Care Coordinator (IBHCC) promotes improved access and care management for clinic patients who have medical and behavioral health care needs. This position is an essential member of the primary care team, maintaining strong relationships with primary care providers and behavioral health clinicians, facilitating the integration of care, and coordinating services and follow up with patients and providers.

Essential Job Functions

• Accepts referrals of patients between medical and behavioral health providers to facilitate the integration of care.
• In-person meetings with patients during medical or Behavioral Health visits may be necessary to facilitate intake function.
• Assists in establishing and maintaining smooth functioning and relationships between primary care providers, behavioral health clinicians, primary care consulting psychiatrists, and other clinic departments.
• Ensures prompt follow up to care by coordinating appointments with patients and care providers.
• Follow up with patients via phone or other forms of communication with regards to the patient’s capacity to follow through with recommended care plans.
• Tracks client attendance, calls patients with day-before-appointment reminders, follows up on no-shows, and addresses any barriers to care to support and improve continuity of treatment.
• Facilitates weekly clinical meetings, and supports the team in following up with action steps.
• Facilitates communication with specialty mental health providers, community-based agencies, for appropriate treatment, resources, services, and supports.
• Identify gaps in services or barriers to care.
• Provides appropriate referrals to community resources, liaison with medical and mental health providers, and troubleshooting integration efforts.
• Refers to clients who are in crisis or requiring a higher level of care need to appropriate mental health services providers.
• Follow up with these individuals to confirm contact with the service provider and develop any needed transition plans.
• Manages transitions from specialty or inpatient psychiatric care from external agencies back to primary care.
• Coordinates services to facilitate the integration of care to sure prompt medical and BH follow up as well as to minimize gaps in services.
• Represent AHS at external meetings, as appropriate.
• Responsible for collecting and entering data regarding services provided to patients by the IBHCC, including services within the clinic and in the community.

• Fosters an environment that promotes trust and cooperation among clients and staff.
• Enforces clinic policies and procedures, including maintenance of client confidentiality under HIPAA privacy rules, to ensure that the principles of AHS are implemented.
• Plays an active role in planning organization-wide activities such as AHS general membership meetings, fundraisers, special clinic days, and other events.
• Participates in general membership meetings, fundraisers, and other public events, as required.
• Participates in outreach activities, agency advocacy, and serves on ad hoc committees, as requested.
• Attends AHS staff retreats and Board of Directors meetings, as required.
• Participates in agency-wide quality improvement program processes and performance improvement teams to ensure excellence in the quality of services provided across the agency.

• Associate’s Degree in Health, Human Services, or Social Services Field.
• Experience in health or social service setting.
• Experience providing services to persons who are disabled, homeless, substance users, re-entry population, and/or psychologically impaired.
• Experience providing services to the immigrant and refugee communities of the East Bay.
• Two years of experience with essential duties above

• Bilingual in an Asian language strongly preferred.

• Knowledge of East Bay health and social services resources.
• Proficient in Microsoft Office (Word, Excel, and Outlook) with the ability to comprehend databases.
• Ability to seek direction/approval on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy.
• Ability to effectively present information to others, including other employees, community partners, and vendors.
• Excellent interpersonal, verbal, and written skills and ability to effectively work with people from diverse backgrounds and be culturally sensitive.
• Strong organizational and administrative skills with the ability to document detailed notes
• Ability to prioritize tasks, work under pressure, and complete assignments promptly.
• Commitment to working directly with individuals from diverse backgrounds, in a helpful, supportive manner.
• Understands concepts of integrated care services and relationships with a variety of healthy discipline for coordination of patient care.
• Strong problem-solving skills and ability to be flexible and adaptive to change while maintaining a positive attitude.
• Conduct oneself in external settings in a professional manner.
• Make appropriate use of knowledge/expertise/connections of other staff.
• Be creative and mature with a “can do”, proactive attitude and an ability to continuously “scan” the environment, identifying and taking advantage of opportunities for improvement.

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The job requires mobility to work in a clinic setting, strength to lift, carry and position supplies and small equipment; touch to conduct physical health

BENEFITS:

Medical, Dental, Vision premiums 100% paid by AHS

12 Vacation Days

12 Sick Days

12 Holidays and 3 Floating Holidays

3% 403B Employer Contributions and up to 2% Employee Match Contribution

Transportation Benefit Paid by AHS

FSA/Dependent Care Assistance

Long Term Disability