Boulder Community Hospital Behavioral Health Specialist Primary Care 2 in Boulder, Colorado

POSITION SUMMARY Boulder Community Health (BCH) Physician Clinics are guided by the philosophy of the Patient-Centered Medical Home. The medical home organizes care around patients, while engaging a multidisciplinary Care Team working proactively to coordinate and track care for each individual patient.

The Behavioral Health Specialist will partner with primary care providers and become a member of the Care Team to provide an integrated clinical and psychosocial approach through the continuum of care to ensure patients receive the behavioral support necessary to improve their health. The Behavioral Health Specialist will provide short term counseling and crisis intervention to patients in the primary care setting.

The Behavioral Health Specialist will provide direct social work/case management services to patients and/or families and the Care Team to ensure patients receive needed assessments, interventions, support and referrals. This person will work directly with providers and clinic care coordinators to ensure patients receive appropriate and successful referrals to behavioral health specialist and other community resources. Excellent organizational skills and the ability to work and communicate well with others are critical aspects of this position.

JOB QUALIFICATIONS

Education or Formal Training Master of Social Work (MSW) degree

Special Qualifications (Licensure, Registration, etc.) Licensed Clinical Social Worker (LCSW) in the State of Colorado

Knowledge, Skill and Ability 1. Professional compatibility with the philosophy of the Boulder Community Hospital Physician Clinics department 2. Ability to provide targeted, solution-focused interventions with patients to improve their emotional and physical health. This includes demonstrated skills with Cognitive Behavioral Therapy, Motivational Interviewing, and other evidenced-based practices. 3. Demonstrates knowledge of DSM V (Diagnostic and Statistical Manual of Mental Disorders) and the ability to perform thorough social and mental assessments; evaluates a wide range of psychosocial impairments within a patient population from adolescents to older adults and/or arranges for more detailed assessments when indicated 4. Knowledge of and experience with chronic pain, addiction and recovery issues 5. Knowledge of healthcare systems and reimbursement systems including Medicare and Medicaid 6. Demonstrates high-level knowledge of physical health conditions (i.e., diabetes, hypertension, obesity) and has skills to activate behavioral changes to improve overall health and wellness 7. Demonstrates knowledge of psychotropic medications, side effects, and benefits in order to increase medication adherence in the patient population 8. Able to navigate EMR (Electronic Medical Record) and critically evaluate whether a patient’s plan of care is appropriate for level of symptomology (i.e., depression) reported. Provides well-conceived, best practice recommendations when plan of care is not sufficient 9. Ability to develop rapport with and provide emotional support for patients and/or families and staff in crisis situations 10. Ability to establish relationships and coordinate services between health care and community service providers and the patient and/or family and staff 11. Ability to provide education to patients and/or families, staff and the community; topics may include crisis intervention and the emotional, social, and economic stresses of illness 12. Ability to complete required statistical and written reports and use information technology to support and improve integrated healthcare 13. The ability to provide a range of brief focused prevention, treatment, and recovery services as well as longer-term treatment and support for consumers with persistent illnesses 14. Ability to function without direct supervision, utilizing time constructively and organizing assignments for maximum productivity 15. Demonstrate sensitivity to vulnerable populations and ability to provide services that are relevant to the culture of the consumer and their family 16. Bilingual in Spanish an asset

Experience 1-2 years supervised experience in an integrated primary care environment, acute care hospital setting, human service agency or its equivalent preferred

ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Manages daily schedule in Greenway following program protocols for patient visits 2. Works cooperatively and collaboratively as a member of a Care Team with primary care providers, MAs, and other clinics staff to provide care to patients based on best practices and evidence-based medicine (EBM) 3. Participates in daily team huddles and meetings among Care Team and clinic that address patient progress and barriers to patient care 4. Provides crisis intervention, problem solving, Cognitive Behavioral Therapy (CBT) and self-management support for referred patients 5. Provides strategic and goal-oriented counseling working with patients in a short term model 6. Provides telephone call follow-up for high-risk patients on caseload, especially depression patients 7. Maintains a safe, comfortable and therapeutic environment for patients and families in accordance with hospital standard 8. Provides development of exemplary working relationships with patients, their families, and representatives 9. Facilitates patient and family education, and promotes continuity of care to achieve optimal patient outcomes 10. Assures patient rights by offering a choice when appropriate 11. Monitors the cognitive condition of patients and reviews the patient plan of care with the multi-disciplinary team 12. Documents in the medical record and verbally communicates with the Care Team to coordinate interventions and facilitate continuity of care 13. Communicates regularly and effectively with Behavioral Health Specialist supervisor to ensure that clinical interventions meet standards for BCH patient care. Behavioral Health Specialist Primary Care 1 will stay in touch via tasks, email, routing notes, and in-person supervision as well as access immediate supervisory support to discuss safety or crisis concerns when indicated. 14. Employees are expected to comply with all regulatory requirements, including Joint Commission Standards. 15. Is familiar with organization, department and job specific Environment of Care areas, including Life Safety, Utilities Management, Hazardous Materials Communications, Emergency Preparedness, Infection Control and Medical Equipment Failure 16. Adheres to Standard Precautions as appropriate, which may include: a. The use of protective barriers, as appropriate (e.g., gloves, masks, gowns, pocket masks, and/or safety glasses); b. Handling and disposing of infectious waste appropriately; and c. Hand washing as appropriate

CONTINUUM OF CARE PLANNING The Behavioral Health Specialist will be responsible for: 1. Assisting patients, families, and Care Teams when patients step down from higher level of care settings (such as psychiatric hospital unit) in order to ensure that aftercare appointments are scheduled and attended 2. Educating patient/family/Care Teams about options/choices within the level of care to be determined as appropriate 3. Assessing for safety, developing safety plans, and utilizing higher level of care options (such as ED, M1 holds when indicated) in the primary care setting 4. Ensuring collaboration of treatment with external providers such as therapists, psychiatrists, intensive outpatient programs, detoxification programs, and inpatient psychiatric settings

OTHER DUTIES/RESPONSIBILITIES All employees are expected to remain flexible to meet the needs of the clinics, which may include working in multiple clinics as patient needs fluctuate.

MATERIALS AND EQUIPMENT DIRECTLY USED 1. Telephone and voicemail 2. Copy machine 3. Fax machine 4. Computer (hospital/clinic communications and patient information)

WORKING ENVIRONMENT/PHYSICAL ACTIVITIES 1. Position located within BCH primary care clinics 2. Position will require movement between BCH primary care clinics and various locations within the community via car/shuttle/walk. 3. Work in artificial light and sit for substantial periods of time

INTERRELATIONSHIPS 1. Position requires excellent communication, interpersonal, and public relations skills. 2. Responsible for development of exemplary working relationships with patients, their families and representatives, providers, insurance companies, coworkers and hospital staff 3. Responsible for representing the hospital with a courteous, positive and professional attitude, conducting duties and behavior with ENCORE! Values on a consistent basis 4. Responsible for HIPAA compliance by maintaining patient confidentiality at all times, discussing only pertinent and necessary details or data with the appropriate people to provide excellent patient care and service

SUPERVISORY DUTIES duties may include overseeing LSWs.

PATIENT CARE/INTERACTION When applicable, employees must be able to adjust the essential functions they perform appropriately to the age of their patient/customer. Employees must demonstrate knowledge of the principles of growth and development and the knowledge and skills necessary to provide for the primary population of patients served in the department. Employees demonstrate the ability to alter care and patient/family education based on the age or developmental level of the patient.

Primary patient population served (check all that apply):

Neonate/Infant (Birth – 12 months)

X

Adult (18 – 69 years)

Child (13 months – 12 years)

X

Older Adult (70+ years)

x

Adolescent (13 – 17 years)

This position does not have regular patient contact.

EMPLOYEES ARE HELD ACCOUNTABLE FOR ALL DUTIES OF THIS JOB. A detailed list of all competencies is listed in the competency-based orientation checklist.