About The Position

The SMI Behavioral Health Care Management Clinician-2 provides intensive office- and community-based care management for adults with serious mental illness (SMI) who are admitted to or discharged from Harding Hospital’s inpatient psychiatric units. These patients often present with severe and complex conditions, including treatment-resistant psychosis, major mood disorders, suicidality, co-occurring substance use, and other high-risk symptoms. Many are discharged on clozapine, for which OSU Harding is the highest-volume prescriber in Ohio. This role ensures comprehensive medication oversight, including REMS-required laboratory monitoring, coordination of transitions of care to OSU EPICENTER or community mental health providers, and development of care plans to reduce emergency department utilization and prevent readmissions. In partnership with the OSU EPICENTER BH team, the SMI Behavioral Health Care Management Clinician 2 supports an enhanced care model focused on continuity, rapid linkage to outpatient services, and sustained engagement post-discharge. The clinician collaborates with Assertive Community Treatment (ACT) teams, community mental health centers, and clozapine clinic referral partners while maintaining ongoing contact with patients and their support systems. High levels of community engagement—before, during, and after hospitalization—are essential to promoting treatment adherence, addressing social determinants of health, and ensuring patient safety. Under the clinical supervision of an independently licensed social worker (LISW), professional counselor (LPCC), the BH Clinician 2 – Care Management provides community and in-office care-management, linkage, advocacy and, as needed, crisis intervention, psychosocial assessment, and brief therapeutic interventions, for OSU behavioral health patients prescribed Clozapine. The position facilitates safe stabilization and transition of patients to and from inpatient to appropriate levels of care, including urgent care, withdrawal management, residential, outpatient treatment, intensive outpatient, partial hospitalization, inpatient admission, or community services. The OSU Harding SMI, BH Clinician 2-CMC collaborates with psychiatrists, nurse practitioners, nurses, social workers, and other mental health and substance use disorder professionals to achieve patient care outcomes, enhance patient engagement in treatment, reduce unnecessary hospitalizations or readmissions, avoid relapse, maintain risk reduction, promote efficient use of healthcare resources, and facilitate linkage to social determinants of health. The role also requires maintaining knowledge of behavioral health and substance use disorder best practices, regulatory requirements, and community resources.

Requirements

  • Master's Degree in Social Work or Counseling or education accepted by the State of Ohio for licensure.
  • Licensed Professional Counselor (LPC), Licensed Social Worker (LSW), or Licensed Chemical Dependency Counselor II or III (LCDC) required.
  • 0 years of relevant experience required.

Nice To Haves

  • LPC or LSW Preferred.
  • 0-2 years of relevant experience preferred.

Responsibilities

  • Provide intensive office- and community-based care management for adults with serious mental illness (SMI) who are admitted to or discharged from Harding Hospital’s inpatient psychiatric units.
  • Ensure comprehensive medication oversight, including REMS-required laboratory monitoring.
  • Coordinate transitions of care to OSU EPICENTER or community mental health providers.
  • Develop care plans to reduce emergency department utilization and prevent readmissions.
  • Support an enhanced care model focused on continuity, rapid linkage to outpatient services, and sustained engagement post-discharge in partnership with the OSU EPICENTER BH team.
  • Collaborate with Assertive Community Treatment (ACT) teams, community mental health centers, and clozapine clinic referral partners.
  • Maintain ongoing contact with patients and their support systems.
  • Engage in high levels of community engagement—before, during, and after hospitalization—to promote treatment adherence, address social determinants of health, and ensure patient safety.
  • Provide community and in-office care-management, linkage, advocacy and, as needed, crisis intervention, psychosocial assessment, and brief therapeutic interventions, for OSU behavioral health patients prescribed Clozapine.
  • Facilitate safe stabilization and transition of patients to and from inpatient to appropriate levels of care.
  • Coordinate care, link patients to community resources, support continuity of care, encourage care compliance.
  • Conduct assessments, develop treatment, initiate short-term psychosocial intervention, discharge plans.
  • Assist patients to overcome barriers to social determinants of health (transportation, finances, insurance, housing, food insecurity etc.).
  • Collaborate with psychiatrists, nurse practitioners, nurses, social workers, and other mental health and substance use disorder professionals to achieve patient care outcomes, enhance patient engagement in treatment, reduce unnecessary hospitalizations or readmissions, avoid relapse, maintain risk reduction, promote efficient use of healthcare resources, and facilitate linkage to social determinants of health.
  • Maintain knowledge of behavioral health and substance use disorder best practices, regulatory requirements, and community resources.

Benefits

  • Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
  • Paid time off, including sick and vacation time and 11 holidays.
  • State retirement plan or an alternative retirement plan, both with generous employer contributions.
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