Case Manager, Behavioral Health

The Wright Center Medical Group•Jermyn, PA

12d

About The Position

POSITION SUMMARY The Behavioral Health Case Manager (BHCM) is a core member of the collaborative care management (CoCM) team responsible for supporting and coordinating the mental and physical health care of patients on an assigned caseload. Working closely with the patient's medical provider, psychiatric consultant, and the larger primary care team, this position maintains a patient registry, facilitates patient engagement, provides brief behavioral interventions, systematically tracks treatment response, and ensures coordinated care delivery for patients with mental health and substance abuse disorders. REPORTING RELATIONSHIPS This position reports to the Director of Behavioral Health Integration. No other positions report to this position. DUTIES AND ESSENTIAL JOB FUNCTIONS Patient Care and Caseload Management Support the mental and physical health care of patients on an assigned caseload, closely coordinating care with medical providers and other mental health providers as appropriate Screen and assess patients for common mental health and substance abuse disorders Facilitate patient engagement and follow-up care to ensure continuity of treatment Systematically track treatment response and monitor patients (in person or by telephone) for changes in clinical symptoms, treatment side effects, or complications Clinical Interventions Provide patient education about common mental health and substance abuse disorders and available treatment options Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other appropriate treatments Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments as clinically indicated Care Coordination and Consultation Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant, focusing on patients new to the caseload and those not improving as expected Communicate treatment recommendations from psychiatric consultations to the patient's medical provider Facilitate treatment plan changes for patients not improving as expected in consultation with the medical provider and psychiatric consultant Facilitate referrals for clinically indicated services outside of the organization (e.g., social services, housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment) Documentation and Registry Management Track patient follow-up and clinical outcomes using a registry system Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients Document patient progress and treatment recommendations in the EHR and other required systems for sharing with medical providers, psychiatric consultant, and other treating providers Maintain accurate and timely documentation in accordance with organizational policies and regulatory requirements Treatment Planning and Discharge Develop and complete relapse prevention self-management plans with patients who have achieved their treatment goals and are soon to be discharged from the caseload

Requirements

Bachelors level degree in a human services field with 2 yrs experience is required
Demonstrated ability to collaborate and communicate effectively in a team setting
Ability to maintain effective and professional relationships with patients and other members of the care team
Experience with screening for common mental health and/or substance abuse disorders
Working knowledge of differential diagnosis of common mental health and/or substance abuse disorders
Ability to effectively engage patients in a therapeutic relationship
Ability to work with patients by telephone as well as in person
Experience with assessment and treatment planning for common mental health and/or substance use disorders
Working knowledge of evidence-based psychosocial treatments and brief behavioral interventions (e.g., motivational interviewing, problem-solving treatment, behavioral activation)
Basic knowledge of psychopharmacology for common mental health disorders within appropriate scope of practice
Experience with evidence-based counseling techniques
Proficiency with electronic health records and registry systems

Nice To Haves

One of the following licenses/credentials are preferred: Licensed Mental Health Counselor/Professional Counselor Licensed Marriage and Family Therapist Licensed Social Worker (LMSW, LCSW) Registered Nurse (BSN recommended) or Nurse Practitioner Licensed Psychologist Masters-level licensure candidate/trainee with appropriate supervision

Responsibilities

Support the mental and physical health care of patients on an assigned caseload, closely coordinating care with medical providers and other mental health providers as appropriate
Screen and assess patients for common mental health and substance abuse disorders
Facilitate patient engagement and follow-up care to ensure continuity of treatment
Systematically track treatment response and monitor patients (in person or by telephone) for changes in clinical symptoms, treatment side effects, or complications
Provide patient education about common mental health and substance abuse disorders and available treatment options
Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other appropriate treatments
Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment
Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments as clinically indicated
Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant, focusing on patients new to the caseload and those not improving as expected
Communicate treatment recommendations from psychiatric consultations to the patient's medical provider
Facilitate treatment plan changes for patients not improving as expected in consultation with the medical provider and psychiatric consultant
Facilitate referrals for clinically indicated services outside of the organization (e.g., social services, housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment)
Track patient follow-up and clinical outcomes using a registry system
Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients
Document patient progress and treatment recommendations in the EHR and other required systems for sharing with medical providers, psychiatric consultant, and other treating providers
Maintain accurate and timely documentation in accordance with organizational policies and regulatory requirements
Develop and complete relapse prevention self-management plans with patients who have achieved their treatment goals and are soon to be discharged from the caseload