Behavioral Health Care Coord

Behavioral Health Care Coord

DEFINITION / PRIMARY FUNCTIONS

The Behavioral Health Care Manger provides specialty case management to high risk patients enrolled in the Health Collaborative of the Berkshires. S / he works directly with patients, patients’ families, physicians, and other care managers to assess the needs and strengths of high-risk patients and develops customized, proactive care plans that support patients’ optimal functional status and well-being. Data-driven monitoring of the effectiveness of the BH care plan as well as regular collaboration with the PCP team and other relevant stakeholders will be required. The BH Care Manager works collaboratively with other members of the health care team to ensure timeliness and coordination of services in compliance with documented care plan goals and objectives. Scope of practice includes but is not limited to : assessment, brief intervention and care management for patients with identified BH / SUD conditions and / or otherwise psychosocially complex issues. Encounters with patients may occur via phone or face-to-face at provider office or at patient’s home, according to the needs of the patient. The BH Care Manager identifies high risk populations and provides BH care coordination and support. S / he works closely at the interface of many departmental and hospital-based services as well as primary care and other specialty practices.

POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)

Experience :

2 years experience with a chronically ill population required. Background with all age populations preferred.

Demonstrated experience in the effective assessment and engagement of individuals with BH / SUD conditions.

Experience working in a healthcare setting as a member of a professional clinical team required.

Knowledge of community resources and supports, BH / SUD treatment as well as experience in referral for treatment, support and services is required.

Experience in providing evidence-based brief interventions to individuals with BH / SUD conditions including : Motivational Interviewing, Behavioral Activation, CBT and Problem Solving Tx.

Education and Training :

Master's Degree in social work or related clinical healthcare field required.

License, Certification & Registration :

LCLILM - LCSW, LICSW, LMHC required

Recovery Coach Certification preferred

Other Requirements :

Ability to form rapid engagement and alliance building with patients and their families.

Ability to follow the logical management of a member’s care throughout the continuum of care.

Possesses a basic understanding of applying clinical criteria when determining medical necessity.

Experience with care coordination.

Proven excellent leadership, and strong interpersonal, communication and team-building skills.

Proven collaboration & negotiation skills with providers, patients, families, insurance organizations and government agencies.

Proven ability to work independently and adjust to multiple demands and shifting priorities, ambiguity and rapid change with resiliency.

Computer literacy required with ability to manage multiple open applications.

Ability to maintain and monitor confidentiality of patient records.

Ability to work autonomously and with meeting goals for productivity.

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