Collaborative Care Behavioral Health Care Manager

The behavioral health care manager is a core member of the collaborative care team, including the patient’s medical provider and psychiatric consultant, and the larger primary care team or medical team. The behavioral health care manager is responsible for supporting and coordinating the mental and physical health care of patients on an assigned patient caseload with the patient’s medical provider and, when appropriate, other mental health providers. They are also responsible for providing brief evidence-based interventions to the patients on the assigned caseload.

JOB DUTIES AND RESPONSIBILITIES:

• Screen and assess patients for common mental health and substance use disorders. Facilitate patient engagement and follow-up care.
• Support mental and physical health care of patients on an assigned caseload. Coordinate care with medical and mental health providers as appropriate.
• Provide education to patients, natural supports, and care teams about common mental health and substance use disorders and evidenced based treatment options.
• Systematically track treatment response and monitor patients for changes in clinical symptoms, side effects or complications and communicate changes to care team.
• Support treatment adherence to medications, interventions and treatment plans as appropriate. Coordinate referrals to specialty care or other providers as clinically indicated.
• Provide brief evidence-based interventions to patients and families, including motivational interviewing, behavioral activation, problem-solving treatment and solution-focused therapy.
• Participate in regularly scheduled caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s medical provider. Consultations will focus on patients new to the caseload and those who are not improving as expected under the current treatment plan. Case reviews may be conducted by telephone, video, or in person.
• Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care.
• Track patients follow up and clinical outcomes using a registry. Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients. Maintain all documentation in the EPIC EHR (Electronic Health Record) and other required systems. 
• Report registry statistics on a regular to the quality team at St Luke’s Penn Foundation Mental Health services as well as St Luke’s Physician Group as requested.
• Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload. 
• Maintains confidentiality of all materials handled within the Network/Entity and the proper release of information. 
• Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
• Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external).  
• Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
• Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
• Complies with Network and departmental policies regarding attendance and dress code. 
• Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated.
• Other related duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:

Standing and walking six hours per day, up to two hours sitting at a time. Frequently uses fingers for typing, data entry, etc. Frequently uses hands. Occasionally uses upper extremities to lift up to 20 pounds; sometimes heavier. Very often stoops, bends and reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision, and visual monotony.

EDUCATION:

Master’s degree in social work, counseling, or related field.  

TRAINING AND EXPERIENCE:

Demonstrated ability to collaborate and communicate effectively in a team setting. 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, when appropriate. Ability to effectively engage patients in therapeutic relationships, when appropriate. Ability to work with patients by telephone, video and 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 for common mental health disorders, when appropriate (e.g., motivational interviewing, problem-solving treatment, behavioral activation, cognitive behavioral interventions). Basic knowledge of psychopharmacology for common mental health disorders within appropriate scope of practice for provider filling role. Experience with evidence-based counseling techniques

Experience with child and adolescent populations is strongly preferred.

Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke's!!