Behavioral Health Care Coordinator

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. The primary location for this role is remote, and expected schedule requirements are Monday to Friday, 8:00am - 5:00pm eastern and 10:30 am - 7:00pm eastern. 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, including social services agencies and behavioral health specialists. Provide psychoeducation on mental health diagnoses, treatment progression, the importance of treatment adherence, and related topics as appropriate. Collaborate regularly with external care team members, including school systems, specialists, and respective state department of child welfare as needed. Participate in scheduled interdisciplinary team consultations to monitor patient progress. Represent Imagine Pediatrics professionally to patients, families, providers, and the broader community. Perform other duties and responsibilities as assigned by manager. What You Bring & How You Qualify First and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. In this role, you will need: Masters’ degree with major course work in social work or related field required Provisional licenses (LMSW, PLPC, LAMFT) preferred Minimum 3-5 years of post-graduate experience in health care social work/Case management in behavioral health Required. Experience working with pediatric population and family systems required Proficiency in motivational interviewing practices and/or techniques; goal setting and intervention; assessment of needs Knowledge of social work including crisis prevention and intervention Experience with providing telehealth services Knowledge of MS Office Suite and ability to work in online platforms Bilingual Spanish strongly preferred Strong knowledge of behavioral health principles and practices Proficient in trauma-informed care practices Strong knowledge of mental health common signs and symptoms and able to identify difficulties with coping Role is remote with 10% travel necessary for training/education purposes Ability to work afternoons and evenings What We Offer (Benefits + Perks) The role offers a base salary range of $70,000 - $77,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By