What are the responsibilities and job description for the Behavioral Health Program Coordinator position at Grundy Area PADS?
The Behavioral Health Program Coordinator is responsible for developing and managing Medicaid-funded behavioral health services by combining program development, compliance oversight, partnership building, and direct service delivery to support the organization’s expansion into Medicaid-reimbursable intensive case management as a Behavioral Health Clinic (BHC).
Medicaid Program Development & Compliance
- Lead the development and implementation of Medicaid-billable behavioral health services
- Ensure compliance with all Medicaid regulations, documentation standards, and audit requirements
- Develop internal workflows for service delivery, documentation, and billing processes
- Review and approve case notes to ensure they meet medical necessity and billing standards
- Serve as liaison to third-party Medicaid billing providers in conjunction with the organization’s bookkeeper
- Other relevant duties as assigned
- Coach staff on their clinical writing to ensure it meets Medicaid billing standards.
- Work closely with the billing department to achieve a 90% or higher monthly Medicaid billing rate.
- Complete IM CANS assessments, updates, and 180-day reassessments in accordance with Medicaid and agency timelines.
- Track due dates for reassessments and follow-up services to ensure continuous care.
- Maintain and ensure accurate, timely, and Medicaid-compliant client documentation using designated platforms (e.g., CarePatron, HMIS).
Partnership Development & Referral Management
- Build and maintain partnerships with community agencies, healthcare providers, and referral sources
- Develop referral pipelines for intensive case management services
- Represent the organization in local coalitions and service networks
- Coordinate intake, eligibility determination, and assignment for referred clients
- Participate in the development and implementation of program goals and objectives in line with the organization's mission and funding requirements.
- Monitor program effectiveness and outcomes, utilizing data to inform program improvement
Direct Service & Oversight
- Provide intensive, 1:1 case management services to a caseload of clients with complex needs
- Conduct assessments, develop service plans, and monitor client progress
- Collaborate with Case Management Supervisor to assign clients to other case managers when appropriate and provide guidance on structured service delivery
- Ensure services align with both housing stability goals and behavioral health needs
HUD Grant & Housing Program Coordination
- Support administration and compliance of Continuum of Care (CoC) Program and State grants
- Ensure alignment between housing services and Medicaid-funded behavioral health services
- Assist with reporting, documentation, and audit preparation for HUD-funded programs in HMIS and other formats
- * Maintain an understanding of Medicaid billing procedures and requirements for services provided to the target population.
- Oversee clinical documentation to ensure it meets all standards for reimbursement, preventing audit deficiencies or financial penalties.
- Stay informed about changes in Medicaid policy and regulations relevant to the homeless population and adjust program practices accordingly.
Administrative & HR Support
- Support HR Functions including onboarding, training coordination, and personnel documentation
- Assist in developing staff protocols related to Medicaid documentation and service delivery
- Contribute to organization-wide policy and procedure development
- Support staff training on compliance, documentation standards, and best practices
- Prepare for and attend required case conferencing and staff meetings.
Quality Assurance & Program Improvement
- Monitor program performance, service utilization, and billing outcomes
- Identify gaps in service delivery and implement improvements
- Ensure integration of trauma-informed and client-centered practices
- Participate in audits, site visits, and quality reviews
Preferred Qualifications
- Experience with Medicaid billing in a behavioral health setting
- Experience with HUD CoC and Rapid Rehousing programs
- Robust background in case management, social services, or behavioral health
- Strong understanding of documentation and compliance requirements
- Education: Master's degree or higher in a mental health field such as Social Work or Counseling from an accredited institution
- Master’s level licensure in Social Work, Counseling, or Psychology
Required Qualifications and skills
- Education: MUST HAVE a Bachelor’s degree or higher in a mental health field or Human Resources field
- Experience: Minimum of 1-3 years experience with Medicaid billing, case management, including experience working with individuals experiencing homelessness and/or those with serious mental illness and substance use disorders.
- Ability to pass the required fingerprint-based state police criminal background check, including violent and sex offender registry.
- Valid Illinois driver’s license with an acceptable driving record and insured and reliable transportation.
- Certified in administration of IM CANS, or the ability to obtain certification within 90 days of hire.
- Skills:
- Strong understanding of ethical and legal issues related to clinical practice and supervision.
- Excellent communication (written and verbal), interpersonal, and organizational skills.
- Proficiency in case management documentation and reporting, including experience with electronic health records (EHR) systems.
- Ability to work independently and manage multiple tasks effectively.
- Strong problem-solving and critical thinking abilities.
- Ability to exercise discretion and sound judgment.
- Ability to appropriately handle sensitive and confidential client information.
- Ability to relate to the clients, staff, and to the public in a courteous and professional manner.
- Commitment to cultural competency and providing services in a trauma-informed manner.
Salary and Benefits
- Pay Range - $50,000-$60,000/year commensurate with education, experience, and licensure.
- Quarterly Bonuses - Guaranteed bonuses of up to $5,000 per quarter ($20,000 per year) based on Medicaid billing output.
- PTO - 2 weeks’ paid vacation and 5 paid sick days per year.
- This position is an on-site role.
- Paid CEU’s for licensure.
- Mileage reimbursement for job-related travel.
Pay: $50,000.00 - $60,000.00 per year
Benefits:
- Paid time off
Work Location: In person
Salary : $50,000 - $60,000