Behavior Health Care Manager - Quality Management

POSITION SUMMARY:

The Behavioral Health Care Manager in the Quality Management Department functions as a core member of the Behavioral Health Care team, which includes:

• The patient;


• The patient’s Primary Care Provider (PCP);


• A Psychiatric Consultant;


• The Behavioral Health Social Worker


• When available, other mental health providers within the primary care clinic.

The Behavioral Health Social Worker is responsible for coordinating and supporting the behavioral health care model of care within the clinic and referrals to clinically indicated services. This position reports directly to the Director of Value Based Care.

The following is list of common functions performed by the Behavioral Health Social Worker:

• Tracks and documents patient follow-up and clinical outcomes using a registry as a guide for daily work and patient engagement, monitoring patients (in person and virtually) for changes in clinical symptoms, treatment side effects, or other complications.


• Provides brief psychotherapy interventions using evidence-based techniques such as Behavioral Activation, Problem-solving Treatment, Motivational Interviewing, or other appropriate interventions.


• Performs screening, assessment, and treatment of various mental, emotional, and behavioral disorders, providing patient education around condition management and available treatment options.


• Reviews referrals and medical records to identify patients unable to adhere to a medical plan without additional assistance; enrolls patients willing to engage in care management services.


• Consults with the PCP and the psychiatric consultant to facilitate treatment plan changes for non-improving patients, inclusive of changes in medications, psychosocial treatments, or referrals for additional services.


• Supports and closely coordinates mental health care with the patient’s primary care provider and, when appropriate, other mental health providers.


• Acts as an advocate on behalf of patients and families, where appropriate, ensuring effective communication with the multidisciplinary care team and other resources.


• Participates in regularly scheduled caseload consultations with the psychiatric consultant and communicates resulting treatment recommendations to the patient’s PCP.


• Supports psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects, complications, and the effectiveness of treatment.


• Works with the multi-disciplinary team to develop a discharge plan in order to provide further care, services, and referrals in order to ensure continuity of care.


• Coordinates with RN Care Managers as needed to address medical needs.


• Collaborates with multiple patient care teams and agencies to ensure the patient receives quality care, a timely discharge, and to address other care delivery delays/issues.

Preferred Qualifications:
Licensed clinical social worker with behavioral health experience; willingness to improve social work skills through a plan of continuing education; ability to use a variety of physical motions in day-to-day activity including standing, turning, bending, stooping, lifting and climbing; ability to stand and walk for extended periods of time without experiencing fatigue; ability to accept responsibility and delegate duties; ability to access patient psychosocial needs and coordinate with other staff members; professional in relating to the other medical staff and other departments; ability to keep all information regarding patients and/or families confidential.


WORK SCHEDULE: Monday - Friday, 8:00AM - 5:00PM