Behavioral Health Integration Coordinator

Overview

Job Description Summary

Facilitates, coordinates, and organizes behavioral health care in a team-based environment, to meet patient needs and achieve optimal health outcomes for adult and pediatric patients. Provides care management services of mental or behavioral health conditions, addresses social and psychosocial factors, integrating behavioral health with medical care in support of the primary care practitioner.

Identifies and addresses social needs preventing optimal health. Connects patients with needed community resources and services to improve health outcomes.

Documents care and services in the electronic medical record as a member of the care team. Utilizes policies that support patient's fundamental right to considerate care, protects their personal dignity and respects their cultural, psychosocial and spiritual values in an effort to meet patient care needs and preferences. Reports to the ambulatory care management leader. Performs other duties as assigned.

Responsibilities

• Facilitates and coordinates behavioral health care in a team-based approach under the oversight of the primary health care practitioner, to improve overall health of adult and pediatric patients
• Performs initial assessment and administers validated screening tools, documenting in the medical record
• Develops the plan of care and provides systematic assessment and monitoring using validated clinical rating tools
• Performs subsequent assessments, revises care plans as needed, in a continuous relationship with the care team
• Educates patients about their condition and the treatment plan
• Refers patients to behavioral health specialty care as needed
• Receives referrals from practitioners within the medical group network
• Uses telemedicine technology; may also provide in-person services
• Communicates and collaborates with the primary practitioner and all members of the care team
• Fields and arranges crisis call interventions as needed
• Collects and reviews social determinants of health information to identify social or psychosocial issues that need to be addressed
• Refers patients to community resources and services, documenting in the medical record
• Establishes relationships with community resources and tracks their success rates
• Provides reports for the department and/or for the patient population served, as needed, including but not limited to, social needs, SDOH activity, behavioral assessments and plans
• Completes assigned goals, participates in administrative meetings as needed
• Performs other duties as assigned

Requirements -

Education

Preferred: Licensed Master’s Social Work

Minimum: Licensed Bachelor’s Social Work

Experience

Minimum 2 years' work experience in a medical/clinical setting, preferred outpatient health care setting

Licensure, Registration, Certification

Minimum: LSW