The Community Behavioral Health Clinician will build trusting and supportive relationships in order to support members with complex behavioral health needs to remain independent and stable in the least restrictive setting. This role will perform assessments targeted at specific interventions to support members in meeting individualized care goals. The Clinician facilitates member access to medical, behavioral and social services by playing a role as liaison or intermediary with medical, behavioral and social agencies. Works collaboratively with other care team members and any external provider agencies to ensure continuity and culturally competent, integrated community-based care.
Duties and Responsibilities:
Responsibilities include, but are not limited to, the following:
- Must be comfortable completing visits independently and/or as a team in various community settings which may include, but not limited to, member homes, nursing/rest homes, group homes, shelters, provider offices.
- Makes community and home visits to members to perform assessments on member's complex social and behavioral health needs.
- Dependability and flexibility- able to shift priorities to manage complex behavioral health needs.
- Completes hospital visits to support transitional care management process
- Performs post-discharge assessments and interventions aligned with individualized member needs.
- Support members in actively participating in their care plan interventions to achieve their short- and long-term goals.
- Coordinates the provision of services/care to meet the member's social and health needs. Aids members, families and caregivers to access basic resources such as food, shelter, transportation.
- Identifies potential medical or behavioral health concerns and collaborates with member's providers.
- Collaborates with other health professionals, including contacting primary care provider offices, care management staff and community social service agencies on behalf of the member
- Prepares and participates in team meetings
- Maintains appropriate written and oral communication and documents patient encounters and updates the care management software system within established time frames
- Maintains member confidentiality within legal and regulatory parameters
- Other duties as assigned
- Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agent