Care Coordinator BHCP

Location: Beverly, MA
Job ID: 157406-1A
Date Posted: Dec 9, 2019
Category: Specialist

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Job Description

Welcome To

Lahey Health Behavioral Services is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

The Behavioral Health Community Partner (BHCP) Program is a new and innovative care management program designed for eligible MassHealth ACO members. The program aims to engage individuals with high behavioral health needs and provide them with a care plan that utilizes a person-centered approach to healthcare. The Care Coordinator is a critical part of the care team and is a great opportunity for someone who is passionate about the mental health and/or human services field. The Care Coordinator role is a dynamic position which will give you the opportunity innovate and help shape the implementation of the BHCP program model on a national scale.

The Care Coordinator’s Responsibilities Are:

  • Facilitates consents, gathers clinical information and opens discussion with assigned enrollee’s behavioral health and medical providers
  • Conducts outreach to enrollees and provides information about the program to encourage engagement
  • Schedules and conducts a comprehensive assessment in order to establish a care plan & form a care team for the engaged enrollee
  • Facilitates communication with the engaged enrollee, the PCP, and other relevant providers, ensuring timely and coordinated access to primary, medical specialty, LTSS, and behavioral healthcare
  • Assists enrollee with medication referrals and management
  • Conducts ongoing follow-up to ensure continued enrollee engagement and progress, making updates to care plan as appropriate and continuously updating electronic health record documentation
  • Maintains collaborative relationships with community based organizations and assists enrollee in navigating these networks
  • Provides transportation assistance for enrollees’ medical appointments & within community as needed until enrollee transitions to community-based transportation
  • Supports safe transitions in care for enrollees moving between settings


  • High school graduate or equivalent required; Bachelor's Degree from an accredited university in psychology, social work or related human services field preferred
  • 1-3 years’ experience in community-based behavioral health support program preferred
  • Valid MA Driver’s License in good standing required; must be able to transport clients in personal vehicle as needed


This is a full-time, 40 hour/week, Monday-Friday day shift position.

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.