Behavioral Health Care Intensivist

Tahoe Forest Health System•Incline Village, NV

5h•Onsite

About The Position

The Behavioral Health Intensivist, as part of the primary care treatment team, identifies, triages, and manages patients with medical and behavioral health problems within the primary care setting. The role involves providing education strategies and developing specific behavioral change plans for patients, as well as behavioral health protocols for target populations.

Requirements

Master's Degree in Social Work OR Marriage and Family Therapy from a four-year college or university.
One to two years related experience and/or training; or equivalent combination of education and experience.
Must have provided inpatient, outpatient or consultative services to at least 30 patients during the past 12 months.
1-2 years relevant experience.
California Licensed Clinical Social Worker (LCSW) issued by the Behavioral Science-Examiners upon hire, or CA LMFT required when assigned to practice in California.
California Licensed Marriage and Family Therapist (LMFT) upon hire, or CA LCSW required when assigned to practice in California.
BLS (Basic Life Support) certification within 3 months of hire into the job.
Self-disciplined, energetic, passionate, and innovative.
A team player that can follow a system and protocol to achieve a common goal.
Highly organized and well-developed oral and written communication skills.
Demonstrates sound judgment, decision-making and problem-solving skills.
Able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations.
Proficiency in the use of computers including accessing the Electronic Health Record (EHR), timekeeping, email and excel.

Nice To Haves

Spanish bilingual

Responsibilities

Supports patient self-management of disease and behavior modifications interventions.
Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
Coordinates continuity of patient care with internal and external healthcare providers.
Assists in the development of plan of care in collaboration with the health care team.
Assists primary health care providers in recognizing and treating mental disorders and psychosocial problems.
Assesses the clinical status of patients referred by primary care providers through brief or intensive consultative interventions.
Develops a specific treatment plan based on a biopsychosocial assessment incorporating patient and family goals to include variables such as: environment, support systems, family dynamics, structure, roles & relationships, finances, personality, culture, perception of illness, cognitive and emotional integration of diagnosis, prognosis and expressed needs.
Provides assessment, diagnostic evaluation and counseling services to adults and pediatric patients.
Coordinates Behavioral Health referrals
Contacts patients for Follow-up Care.
Schedules appointment for counseling services as needed.
Documents all patient contacts in the EHR.
Performs Psychiatric Diagnostic Evaluation, which is a biopsychosocial assessment.
The evaluation may include discussion with family or other sources in addition to the patient.
The diagnostic interview is indicated for initial or periodic diagnostic evaluation of a patient for suspected or diagnosed psychiatric illness.
Documents the required Diagnostic Assessment including Date, Chief Complaint, and Referral Source.
Completes Medical and Mental Health History: Assesses development, strengths and vulnerabilities.
Obtains information from family/caregivers as needed.
Obtains information through review of the medical record.
Completes Mental Status Exam.
Formulates opinion, tentative diagnosis and recommendations.
Uses the Diagnostic & Statistical Manual of Mental Disorders (DSM) 5 to diagnose.
Evaluates the patient’s ability and willingness to adhere to the treatment plan.
Documents HIPAA compliant Treatment Plan Notes to include Type, Amount, Frequency, Duration.
Documents Treatment Goals as measurable goals.
Documents HIPAA compliant Psychotherapy Notes to include Date, Time Spent with the patient (length of session), The specific therapeutic maneuvers used, such as cognitive restructuring, behavior modification, to produce therapeutic change.
Diagnosis needs to be clearly documented for each visit and related to treatment/therapy.
A periodic summary of goals, progress toward goals, and an updated treatment plan must be included in the health record.
Progress or lack of progress toward the goals stipulated in the individual treatment plan.
Legible signature.
Documents HIPAA compliant utilizing the Sensitive Note when private information is needed.
Identifies and intervenes with barriers and risk factors that may impede treatment of comorbidities.
Assures annual or as needed appropriate screening tools including PHQ 9, ACES, AUDIT, SBIRT/CRAFFT, and GAD 7 are completed and results are documented within the Electronic Health Record.
Follows up with PHQ 9, GAD7 and SBIRT/CRAFFT screening tool results and provides counseling services and/or refers to appropriate clinical specialist.
Participates in team consultations; helps to direct goals of care discussions; symptom assessment; and helps to develop a comprehensive treatment plan.
Works with the primary care provider to refer cases to mental health specialists as appropriate.
Assists in the detection of at-risk patients and development of plans to prevent further psychological or physical deterioration.
Serves as liaison with the health system and other outpatient services to ensure care coordination and appropriate assignments and resource allocation to meet patient needs throughout the continuum of care related to Behavioral Health.
Assists in the prevention of relapse and assists in the process of suicide prevention.
Provides education to patients, families and staff about care, prevention and treatment enhancement techniques.
Attends and participates in meetings and quality improvement activities as required.
Serves as a member of committees as requested.
Furthers the mission of the organization through active support of the strategic goals.
Participates in the collection of data, health outcomes reporting, and clinical audits.
Pursues professional growth and demonstrates professional behavior in all interactions.
Adheres to patient care standards and follows Hospital policies and procedures.
Schedules, coordinates, and hosts conference calls and/or live meetings with key agency stakeholders and Clinic Providers and staff as well as Wellness Neighborhood leaders and partners.
Represents the Health System before external stakeholders, including community groups, nonprofit organizations, neighborhood associations, health systems, and others as directed.
Demonstrates System Values in performance and behavior.
Complies with System policies and procedures.