Compass Plus Care Manager

Care New England Health System•Providence, RI

About The Position

The care manager is a key member of a Collaborative Care team that includes the patient’s primary obstetric provider, a psychiatric consultant, and other mental health providers in the prenatal care clinic. The team provides mental health services during pregnancy and up to one year postpartum for patients in the Compass Plus program. The care manager provides mental health support within the prenatal care clinic and coordinates referrals to external services as needed.

Requirements

Familiarity with the impact of implicit and systemic bias on patient care.
Commitment to culturally competent, non-judgmental treatment for a diverse patient population.
Experience in perinatal mental health.
Experience in screening, assessment, and treatment planning for mental health and substance use disorders.
Working knowledge of differential diagnosis and evidence-based psychosocial treatments for common mental health disorders.
Familiarity with brief intervention techniques, such as Motivational Interviewing and Behavioral Activation.
Basic knowledge of psychopharmacology for mental health disorders, within the provider's scope of practice.
Experience collaborating effectively in a team setting.
Ability to maintain professional relationships with patients and the care team.
Ability to navigate mandated reporting guidelines while prioritizing informed consent, patient advocacy, and minimizing harm.
Strong written and verbal communication skills.
Comfort with the pace of prenatal care.
Ability to engage patients in a therapeutic relationship, virtually or in person.

Nice To Haves

Experience working with diverse and historically underserved populations.
Experience in a prenatal setting.
Bilingual in Spanish and English.

Responsibilities

Collaborate with the patient’s primary obstetric provider and other mental health providers to support mental health care.
Screen and assess patients for mental health and substance use disorders.
Educate patients about common mental health and substance use disorders and treatment options.
Monitor patients for changes in symptoms, treatment side effects, or complications, in person or by phone.
Support medication management prescribed by obstetric care clinicians, focusing on adherence, side effects, and treatment effectiveness.
Provide psychoeducation on medication risks and benefits during pregnancy and postpartum.
Deliver brief interventions using evidence-based techniques such as Behavioral Activation, Problem Solving Treatment, or Motivational Interviewing.
Facilitate referrals to evidence-based psychotherapy treatments, such as ERP and DBT, as needed.
Participate in weekly caseload consultations and communicate treatment recommendations to the obstetric care team, especially for patients new to treatment or not progressing as expected; communicate resulting recommendations to the patient and their OB care team.
Encourage patient engagement and follow-up in care.
Track patient follow-up and outcomes using a registry, document encounters, and use the system to re-engage patients.
Document patient progress and treatment recommendations in the registry for sharing with the care team.
Facilitate treatment plan changes for patients who are not improving as expected, in consultation with the obstetric care team psychiatrist and psychologist. Changes may include medication or psychotherapy changes or referrals for additional services.
Facilitate referrals to services outside the prenatal clinic, such as social services, specialty care, and substance abuse treatment.
Develop relapse prevention plans for patients in remission.