Behavioral Health Specialist

Brigham and Women's Hospital-posted about 2 months ago

Full-time • Mid Level

Hybrid • Braintree, MA

5,001-10,000 employees

Hospitals

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Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Coordinated Whole HealthCare Duals Team is hiring two Behavioral Health Specialists to join MGB Health Plan! Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Severe Mental Illness (SMI) and Substance Use Disorders (SUD). As the behavioral health clinical expert on the Interdisciplinary Care Team, the Behavioral Health Specialist partners with the Interdisciplinary Care Team, facilities, and providers to address behavioral health challenges, evaluate treatment options, and implement targeted strategies and interventions.

Collaborate with interdisciplinary care teams (ICT)-including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities-to support program enhancements, process improvements, care coordination, discharge planning, and aftercare.
Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision-making regarding enrollees' care.
Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services.
Develop, update, and implement enrollee-centered care plans in collaboration with enrollees and care teams, promoting self-care, shared decision-making, and addressing identified needs through routine engagement and proactive outreach.
Conduct outreach, assessments, and home visits via telephonic, electronic, or in-person contact for identified enrollees, including routine evaluations and post-transition care.
Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalate behavioral health needs during weekly case conferences.
Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, progress toward goals, care needs, utilization plans, and follow-up.
Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately within electronic medical record systems.
Serve as a key resource and liaison within the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor.

Master's Degree, Field of Study: Licensed Independent Clinical Social Worker (LICSW) required
Previous counseling experience 5-7 years required
Minimum 3 years of direct clinical experience required
Experience with community case management preferred
Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred
Competency in working with multiple health care computer platforms, nice to have EPIC experience
Experience working with individuals with complex medical, behavioral, and social needs
Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams
Critical thinking and problem-solving skills. Demonstrates autonomy in decision making
Strong organizational skills with an ability to manage routine work, triage and reset priorities as needed
Interpersonal skills and ability to work effectively with providers and their staff to develop rapport, build trust, and promote Population Health initiatives. Excellent oral, written, and telephonic skills and abilities
Competency in working with multiple health care computer platforms
Ability to work effectively in a complex fast paced medical environment and multiple practice locations
Ability to work independently while contributing to a collaborative team environment
Knowledge of healthcare and community services to assist enrollees effectively
Must be comfortable with change, have the ability to adapt and pivot as part of continuous process improvement activities
M-F Eastern Business Hours required 830a-5pm ET
Onsite Practice-based, remote work and enrollee in-person home and community visits
Weekly multiple days in field needed, will vary
Reliable transportation and valid driver's license required
Must be local, ideally in Eastern, MA. Community capable with autonomy to build own schedule to accommodate member's needs. With flexibility required based on member needs
Must be flexible for training, field work and business needs, this can very per week in person, as well as telephonic or virtual assessments are possible.
Field work may be increased as the program launches
Remote working days require stable, quiet, secure, compliant working station using MGB provided equipment and Teams Video access
Licensed Independent Clinical Social Worker [LICSW - MA State License] required

Mental Health Counselor [LMHC - MA State License] - preferred
Certified Case Management Certification preferred
NCQA experience preferred

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