Job Description

Position Summary:

As an integral member of the care management team the Behavioral Health (BH) Care Manager (CM) will have the opportunity to make a profound impact on the lives of individuals living with complex and/ or chronic Behavioral Health conditions, many of whom also face multiple barriers in their lives which makes it difficult for them to achieve the self-care required to improve their health and well-being. This position requires flexibility, creativity, and may vary from day-to-day to meet members where they are. Outreach methods may vary and may include telephonic or in person in a variety of potential settings such as but not limited to, the health center, community, home, or inpatient facility.

Essential Duties and Responsibilities :

• Conducts Comprehensive Clinical Assessments
• Engages members and care givers in active care planning with a focus on medical, behavioral, social, member-centered care needs. Coaches and guides member/representative to meet bio/psycho/social care goals.
• Assess the member's knowledge of their medical, behavioral health, and/or social conditions and provides education and self-management support based on the member's needs and preferences.
• Work with the member to develop a self-management plan
• Coordinate care with the member's providers such as the primary care team, facilitate medication reconciliation with pharmacist, RN and/or primary care team.
• Provide care coordination, which may include but is not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up.
• Manage treatment access and follow up with members with coexisting medical and behavioral disorders
• Use motivation interviewing and coaching to help patients to increase their motivation and commitment to change their behavior and to strengthen their motivation for and movement toward a specific goal.
• Participates in the integrated care team meetings and rounds as required.
• Maintain accurate, timely documentation in electronic systems including health center Electronic Health Records (EHRs)
• Other duties as assigned.

Qualifications and Education Requirements:

Education and Experience:

Licensed Clinical Social Worker (LCSW or LICSW), or Licensed Mental Health Counselor (LMHC). Master's Degree in Psychology, Social Work, or related field preferred.

Minimum 2-5 years of experience providing patient-centered outreach, behavioral health services, needs assessment and support.

Reports to the Director of Care Management

Monday - Friday; 8:30am -5:00pm.

Job Tags

Monday to Friday

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