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SUMMARY OF POSITION

The Integrated Care Provider is a licensed clinical provider and integral member of the clinical team at SCHC and is responsible for ensuring effective care and treatment for patients with behavioral health disorders. The Integrated Care Provider works directly alongside medical providers and other members of the care team within the context of a primary care medical home. The Integrated Behavioral Health Clinician is embedded within the primary care clinic team. This person works directly with the team to assess individuals with behavioral health and /or substance abuse issues and to provide brief treatment services within the clinical setting for children and adults with chronic medical diseases.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Integrated Behavioral Health Care

• Screens and evaluates patients for mental health disorders, substance use disorders, and developmental delays using evidence-based screening tools and biopsychosocial interviews
• Identifies patients that will benefit from enrollment in a care management panel, based on level of risk, treatment goals, or level of engagement
• Utilizes and documents in electronic health records and electronic registries to track patient treatment adherence, progress, and outcomes, identify patients not improving as expected, and re-engage patients that have missed appointments
• Provides short-term targeted counseling for patients
• Can provide psychoeducation to patients who are dealing with chronic illness, diabetes, and other life-changing medical conditions during scheduled appointments
• Provide case management and outreach efforts to assist in managing wait lists as well as meeting current needs of patients.
• Facilitate groups related to chronic pain, resilience, mindfulness, insomnia, etc. to meet the needs of our clients
• Work with providers to facilitate warm hand-offs
• Is the mental health subject matter expert that is available for consultation with providers
• Provides crisis management to the clinic and support to coworkers in the medical department
• Make appropriate referrals as needed to best meet the needs of the patient
• Provides brief interventions to individuals or groups using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, psychoeducation, or other treatments within the consultant’s scope of practice as appropriate
• Facilitates treatment plan changes for patients who are not improving as expected
• Conduct intakes for patients requesting counseling services/ may obtain consents and other documentation needed to facilitate services
• May diagnose individuals if it is within their current scope of practice
• May travel to differing clinic sites to be available to meet the needs of the community
• Participates in treatment team meetings, staff meetings, and peer reviews as assigned
• Address gaps in access to Behavioral Health services by providing interim, back-up, step-down, or transitional care
• Documents encounter within EHR
• Provides follow up contacts as needed for best practice
• Other duties as assigned.

  Specialty Behavioral Health Care

• Provides specialty behavioral health care to a small panel of patients, as directed by the Behavioral Health Manager
• Assesses and diagnoses mental health and substance use disorders using DSM-V and ICD-10 criteria, via evidence-based screening tools and biopsychosocial interviews
• Completes comprehensive assessments, as needed, for referrals to care outside of SCHC
• Provides evidence-based psychotherapeutic interventions appropriate to a primary care setting to children, adults, couples, families, and groups within the consultant’s scope of practice, education, and experience
• Develops patient centered treatment plans that are consistent with the patient’s goals and are modified as needed based on the patient’s progress and response to treatment
• Utilizes an electronic health record for timely and accurate documentation of services rendered

  Coordination of Care

  Quality Assurance/Quality Improvement

• Coordinates formally and informally with all members of the care team, including medical, behavioral health, and psychiatric providers
• Makes appropriate referrals, including those to internal and external specialty behavioral health care, and to community resources to ensure basic needs are met and reduce barriers to treatment goals 
• Participates in regular peer reviews to ensure appropriate provision and documentation of services
• Contributes to continuous quality improvement and risk management activities
• Participates in required and self-directed training to develop enhance skills
• Complies with SCHC’s policies and procedures
• Provide charting documentation for services rendered on the appropriate electronic forms, and to do so per State of Alaska regulations, which must occur within 72 hours of providing service.
• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.
  
  EDUCATION and/or EXPERIENCE
•  Requires Licensed Clinical Social Work License
• Experience collaborating with medical providers preferred
• Valid State of Alaska driver’s license required
• Current BLS preferred but not required.