Career Opportunities within Castle Valley Children’s Clinic

Job Title: Integrated Behavioral Health Clinician

Reports To: Medical Director of Castle Valley Children’s Clinic (CVCC)

Pay: $75,000/yr at 1 FTE (negotiable), benefits include Health and Dental insurance, IRA contributions, 4weeks vacation, professional dues payment, paid CME.

GENERAL RESPONSIBILITIES:

The Integrated Behavioral Health Clinician, a licensed mental health provider, is embedded within the primary care teams and works directly with the teams to assess individuals for behavioral health needs and to provide brief treatment services within the primary care setting.

They will be responsible for creating a broad referral network for patients to transition into long term therapy outside of the clinic when needed. The IBH Clinician will expand the teams’ abilities to treat persons with chronic medical conditions that are complicated by lifestyle factors and be available for warm handoffs to improve response to urgent mental health needs. The IBHC will also spear head CVCC’s group therapy/education effort and coordinate case management for patients engaged in therapy services.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Maintains an active presence on primary care clinical teams. Participates in daily medical team huddles, medical staff meetings, multidisciplinary teams, and meetings with the care coordinator.
• Consults with primary care providers in real time to assist patients with psychosocial issues. This is frequently done as a “warm hand off” during hours of clinical operation. Informal consultations and referrals from the primary care providers happens at other times as well.
• Assists the primary care provider in recognizing, treating and managing mental health and psychosocial issues and acts as a contributing member to the primary care team.
• Triages both scheduled and immediate referrals from the medical teams, treating some with brief treatment/intervention and referring others to more appropriate resources. Advises the primary care provider about which patients are better served at the primary care setting and which should be referred for specialty services.
• Provides brief treatment interventions for mild to moderate behavioral health concerns, as well as crisis intervention. Demonstrates competence in brief assessment, crisis management, triage, diagnosis, as well as, mental health/substance abuse treatment within a brief solution-focused model.
• Conducts patient intakes for behavioral health services, focusing on diagnostic and functional evaluations and makes recommendations to the primary care provider concerning the patients’ treatment goals and plan.
• Provides consultation and training to the primary care providers to enhance their skill and effectiveness in the treatment of mental health problems.
• Gives primary care providers timely feedback about the patient’s care, treatment recommendations, and progress via documentation in the patient’s electronic health record and verbal feedback.
• Initiates follow-up to ascertain how patients are doing and to determine if any changes in treatment approaches are indicated.
• Develops, where indicated, relapse prevention plans and helps patients maintain stable functioning.
• Assists in the detection of “at risk” patients and in the development of plans to prevent worsening of their condition.
• Monitors and coordinates the delivery of health services for patients as related to behavioral health care. The IBHC will work closely with the care coordinator to
  accomplish these goals.
• Documents in the patients’ electronic health record in a complete and timely manner.
• All progress notes will be fully completed and signed within 48 hours of the encounter.
• Keeps the primary care providers fully informed of the patient’s needs and progress and works with the providers to formulate treatment plans.
• Works, where indicated, to effect behavioral changes in patients with, or at risk for, physical disorders and helps them to understand healthier lifestyle choices.
• Provides patients with self-management skills and educational information needed so they can be full participants in their own treatment and recovery.
• Helps the patients, where indicated, to cope with chronic conditions like pain and special health care needs.
• Assists the patients in complying with any medical treatment initiated by the primary care provider, such as offering strategies to cope with medication side effects.
• Demonstrates customer-centered approach to treatment, as measured by respectful interactions with patients and their families, high patient satisfaction, and lack of patient complaints.
• Places high value on the treatment team, as measured by willingness to meet regularly, work collaboratively, and demonstrate flexibility when consulting with medical providers in the consultation and treatment of new patients, whether they are scheduled or referred as “warm hand-offs” or unscheduled emergencies.
• Demonstrates a thorough understanding of DSM V, as measured by thoroughness and accuracy of diagnostic formulations brought for review to the multidisciplinary team.
• Shows the ability to obtain complete history and full conceptualization of the patient’s problem within the time limited session(s), as measured by the quality of the written assessment and the timely case presentation to the multidisciplinary team.
• Demonstrates a thorough knowledge of effective treatment protocols for brief solution-focused interventions and necessary cultural competencies for treating children with mental health, as well as, chronic disease lifestyle management.
• Adapts therapeutic strategies to individual characteristics of the patient, including but not limited to, disability, gender, sexual orientation, developmental level, culture, ethnicity, age, and health status as measured by return visits and patient satisfaction.
• Participate in meetings, trainings, and supervision required by Castle Valley Children’s Clinic and other trainings necessary for the maintenance of professional licensure and or/supervisory requests for growth and improvement.
• Designs and coordinates groups and identifies community needs when forming groups
• Works closely with the clinical team
• Works closely with Grant team for the HB-22-1302 Integrated Health Grant on grant activities and reporting duties.
• Performs other duties as requested.

SUPERVISORY RESPONSIBILITIES:

The IBHC is expected to work closely with the case manager and will be responsible for assisting the Medical Director in reviewing and monitoring the quality of the case manager’s work.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each of the essential duties satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

MINIMUM REQUIREMENTS / KNOWLEDGE / SKILL:

• Ability to read, analyze, and interpret medical documentation, professional journals, and government regulations.
• Ability to write reports and correspondence.
• Ability to effectively present information and respond to questions from providers, hospitals, health center staff and patients and their families.
• Ability to develop effective interpersonal relationships with the health care team, providers, and management staff.
• Ability to perform duties and responsibilities across all life stages of childhood (infants, children, adolescents and young adults) required.
• Commitment to work in community health with the challenges of a high risk, and often uninsured and diverse patient population.
• Proven writing skills to document in a medical record and submit documentation.
• Strong/demonstrated communication skills, written and verbal, required.
• Ability to multi-task and manage concurrent situations.
• Flexibility to deal with noise, frequent interruptions and constant changes in schedules.
• Ability to perform responsibilities in a solution-focused model with appointments usually lasting less than 30 minutes.
• Function well in a team-approach, accepting the fact that they are not in charge of patient’s care.
• Proficiency in the identification and treatment of mental disorders
• Computer proficiency in Microsoft Office required
• Previous experience in Electronic Health Records preferred.
• Knowledge of HIPPA regulations.
• CPR certified.

EDUCATION

• Masters or Doctorate in a mental health field from an accredited college or university.
• Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Psychologist, or Psychiatric Nurse Practitioner in the state of Colorado.
• Marriage and Family Therapy or Child Therapy certification preferred.
• Previous experience with children in play therapy or cognitive behavioral therapy (CBT) preferred.
• Previous experience or internship in a medical setting which supports a primary care integration model preferred.

LANGUAGE SKILL:

• Cultural sensitivity necessary to work with a diverse patient and staff population
• Bilingual ability in English and Spanish speaking abilities preferred

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee frequently is required to stand, walk, and sit.
• Extensive eye contact with a computer screen.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Noise level is moderate.
• Activity is busy, fast-paced.

Employees can be identified at risk of infection. Refer to policy and Hazard Determination
Assessment.

AMERICANS WITH DISABILITIES ACT STATEMENT:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case-by-case basis.