Behavioral health specialist job description

About Us:

Milford Regional Medical Center is a full-service, community and regional teaching hospital, with 145 beds, providing acute-care serving a region of 20-plus towns. With over 300 primary care and specialty physicians on the medical staff, our physicians are skilled in the most advanced procedures and technology, and provide personalized patient care in a warm and caring environment.

Statement of Purpose:

Under the direction of the Director of Care Management & the Chief of Psychiatry, the Behavioral Health LICSW Clinician (BH LICSW) will assess and provide behavioral health assessments in the Emergency Department with accompanying inpatient, outpatient, addiction, or step-down referrals for patients and families. The BH LICSW are responsible for completing bio-psycho-social assessments, as well as utilizing communication skills to seek information as necessary from providers, community mental health organizations, and families to best serve our patients, and which will enable the BH LICSW to identify problems related to the total well-being of the patient. The BH LICSW acts as the liaison between medical staff, community resources, and the patient and their family. The BH LICSW will be responsible for working with Emergency department and inpatient staff to create, educate and implement behavioral health referrals, treatment modules, and evaluations for patients presenting with substance abuse and behavioral health concerns.

The BH LICSW must have knowledge of community mental health care resources, addictions treatment, SUDE and SBIRT knowledge, and the ability to work with state agencies such as DMH and DCF to ensure favorable patient dispositions. The ability to work efficiently, have great patient interaction skills, in-depth clinical interviewing practices, and a sense of urgency are a must.

Qualifications:

Education: Master's degree in Social Work required, This position will be credentialed under the Milford Regional Medical Center (MRMC) Medical Staff bylaws.

Certification / License: Massachusetts licensed social worker (LICSW) required

Experience:

+ 3 plus years' experience working in behavioral health

+ Working knowledge of community mental health care and an understanding of ESPs

+ Knowledge of addiction treatment resources

+ Demonstrated knowledge of working with various state agencies in Massachusetts and Rhode Island

+ Able to communicate in a concise, calm manner

+ High degree of professionalism, discretion, and confidentiality

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for clinical file assessments for Care Management (inclusive of BH and UM). Identifies monthly insights for improvement and participates in Interrater Reliability meetings. Aids in efforts to continuously develop review tools to ensure validity of criteria, and appropriately captures evidence of expected clinical performance within contractual and Model of Care standards.

* Conducts Care Management (UM, BH, CM) clinical file assessments by reviewing clinical documentation as assigned for Care Management for required clinical adherence.

* Participates in the development and ongoing review of clinical review tool to ensure that clinical elements accurately capture adherence with required performance standards.

* Reviews Care Management program descriptions, policies and procedures, step actions, and training materials as well as State Contracts when needed to evaluate alignment of review tool elements, departmental processes, staff training, and contractual/departmental standards.

* Utilizes clinical knowledge and experience to evaluate documentation of member health assessments, clinical needs and interventions in meeting compliance standards.

* Participates in meetings with Care Management and others to discuss review findings, areas of opportunity and recommendations for improvement.
* Appropriately escalates areas of concern identified during clinical file reviews.

* Participates as needed with preparation for State, CMS, and NCQA audits by collecting and /or reviewing clinical areas of relevance.

* Meets established productivity and IRR standards for file reviews.

* Follows departmental guidelines and processes.

* Other duties as assigned.

Education/Experience: Bachelor's Degree in Nursing, Clinical Social Work/Counseling required OR Associate's degree and an RN with 3+ years of clinical experience. 3+ years of experience in a clinical environment (inpatient or outpatient). 1+ year of experience in Managed Care (UM, BH, CM) preferred. Familiarity with Medicare and Medicaid programs preferred.

Licenses and Certifications: A license in one of the following is required: Licensed Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Licensed Marital and Family Therapist (LMFT). Certified Case Manager (CCM) preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Performance Monitor Specialist, Clinical-Behavioral Health (LCSW, LMHC, LMFT, RN)

**LOCATION:** Various, Georgia

**REQNUMBER:** 1354527

The Behavioral Health Associate reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Behavioral Health Counselor delivers direct care to the psychiatric patient. This role effectively interacts with the patients and their support network, and with the treatment mileau to facilitate positive patient outcomes. The Behavioral Health Counselor will perform these tasks in a fashion where they assures, embraces, and communicates the pledge, values and policies of Northwestern Medicine.
Responsibilities:

Facilitates treatment groups (including check-in, educational, expressive therapy, relaxation), along with milieu management.

Provides individual intervention to patients in partnership with the assigned clinical therapist. This includes supportive patient management along with identifying and responding to patient crises.

Monitors and documents patients progress toward treatment plan goals.

Plans for patient discharge, by securing outpatient treatment resources and appointments.

Facilitates new patient orientations.

Completes evaluations/assessments as part of intake when assigned, and using patient placement criteria documents justification for recommended level of care.

Demonstrates ability to cross train to other areas of BHS and seeks professional development opportunities to expand knowledge base. Accepts assignments of work to other units within BHS.

Plans and implements care in collaboration with the multi-disciplinary team. Able to begin and add to the Master Treatment Plan. Documents inpatient medical record via Microsoft Word or other automated medical records software in an accurate and timely fashion.

Communicates effectively and works cooperatively with other team members. Has respect for and understanding of other clinical disciplines and their duties.

Understands and communicates clearly and in a motivational fashion the information pertaining to self-help groups, which therefore assists patients in utilizing such groups as an ongoing support system.

Demonstrates baseline knowledge and understanding of "street drugs" and other drugs of abuse. Able to identify withdrawal symptoms of narcotics and alcohol.

Conducts telephone screenings (inquiry calls) in a fashion resulting in appropriate disposition based on the phone contact.

Understands patient placement criteria and can identify proper level of care to convey to Managed Care along with the initial pre-cert.

Communicates to Manager any incidents regarding patients and staff that may compromise unit safety.

Understands admission process to the hospital from the partial hospital program. Assists in facilitating such admissions as needed.

Contributes to the intake process by handling inquiry calls as assigned.