This position is expected to support both Truckee, CA and Incline Village, NV.

Bargaining Unit: Outpatient Clinics EAP

Rate of Pay: $48.12/hour + DOE

Summary

The Behavioral Health Care Intensivist, as part of the primary care treatment team identifies, triages and manages patients with medical and behavioral health problems within the primary care setting. The Behavioral Health Care Intensivist provides education strategies and develops specific behavioral change plans for patients and behavioral health protocols for target populations.

Essential Duties and Responsibilities

• Work duties to be assigned in IVCH and Truckee Hospital Locations.
• Assists primary health care providers in recognizing and treating mental disorders and psychosocial problems.
• Assesses the clinical status of patients referred by primary care providers through brief or intensive consultative interventions.
• Develops a specific treatment plan based on a biopsychosocial assessment incorporating patient and family goals to include variables such as: environment, support systems, family dynamics, structure, roles & relationships, finances, personality, culture, perception of illness, cognitive and emotional integration of diagnosis, prognosis and expressed needs.
• Provides assessment, diagnostic evaluation and counseling services to patients.
• Monitors Behavioral Health
  • Allocates specific referrals to the appropriate resources
  • Coordinates Behavioral Health referrals
    • Follow-up Care includes:
      • Contacts patients
      • Schedules appointment for counseling services as needed
      • Schedules consult room space
      • Documents all patient contacts in the Electronic Health Record (EHR)

• Receives referrals
  • Follow-up Care includes:
    • Contacts the patients
    • Schedules appointment for counseling services as needed
    • Schedules consult room space
    • Documents all patient contacts in the EHR
    • Makes referrals to the appropriate resources

• Performs Psychiatric Diagnostic Evaluation:
  • The diagnostic evaluation is a biopsychosocial assessment
  • The evaluation may include discussion with family or other sources in addition to the patient
  • The diagnostic interview is indicated for initial or periodic diagnostic evaluation of a patient for suspected or diagnosed psychiatric illness

• Documents the required Diagnostic Assessment:
  
  • Date, Chief Complaint, Referral Source
  • Completes Medical and Mental Health History
  • Assesses development, strengths and vulnerabilities
  • Obtains information from family/caregivers
  • Obtains information through review of the medical record
  • Completes informed consent

• Examination:
  • Completes Mental Status Exam

• Diagnoses and Plan of Care:
  
  • Formulates opinion, tentative diagnosis and recommendations
  • Uses the Diagnostic & Statistical Manual of Mental Disorders (DSM) 5 to diagnose
  • Evaluates the patient’s ability and willingness to adhere to the treatment plan

• Conducts Group Therapy Services
• Documents HIPAA compliant Treatment Plan Notes to include:
  • TREATMENT PLAN
    • Type
    • Amount
    • Frequency
    • Duration
  • TREATMENT GOALS
    
    • Measurable goals

• Documents HIPAA compliant Psychotherapy Notes to include:
  • Date
  • Time Spent with the patient (length of session)
  • The specific therapeutic maneuvers used, such as cognitive restructuring and behavior modification to produce therapeutic change
  • Diagnosis: needs to be clearly documented for each visit and related to treatment/therapy
  • A periodic summary of goals, progress toward goals, and an updated treatment plan must be included in the health record
  • Progress or lack of progress toward the goals stipulated in the individual treatment plan
  • Legible signature

• Documents HIPPA compliant utilizing the Sensitive Note when private information is needed
• Identifies and intervenes with barriers and risk factors that may impede treatment of comorbidities.
• Assures annual or as needed appropriate screening tools including Patient Health Questionnaire (PHQ 9), Screening, Brief Intervention, and Referral to Treatment (SBIRT), and Generalized Anxiety Disorder (GAD 7) are completed and results are documented within the Electronic Health Record.
• Follows up with positive PHQ 9, GAD7 and SBIRT screening tool results and provides counseling services and/or refers to appropriate clinical specialist.
• Participates in team consultations; helps to direct goals of care discussions; symptom assessment; and helps to develop a comprehensive treatment plan.
• Works with the primary care provider to refer cases to mental health specialists as appropriate.
• Assists in the detection of at-risk patients and development of plans to prevent further psychological or physical deterioration.
• Serves as liaison with the health system and other outpatient services to ensure care coordination and appropriate assignments and resource allocation to meet patient needs throughout the continuum of care related to Behavioral Health.
• Assists in the prevention of relapse and assists in the process of suicide prevention.
• Provides education to patients, families and staff about care, prevention and treatment enhancement techniques.
• Attends and participates in meetings and quality improvement activities as required.
• Serves as a member of committees as requested.
• Furthers the mission of the organization through active support of the strategic goals.
• Participates in the collection of data, health outcomes reporting, and clinical audits.
• Pursues professional growth and demonstrates professional behavior in all interactions.
• Adheres to patient care standards and follows Hospital policies and procedures.
• Demonstrates System Values in performance and behavior.
• Complies with System policies and procedures.
• Other duties as may be assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty 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.

Supervisory Responsibilities

No supervisory responsibilities.

Minimum Education/Experience

Master's Degree Social Work (MSW) from an educational institution accredited by the Council on Social Work Education. Must have provided inpatient, outpatient or consultative services to at least 30 patients during the past 12 months.

and 2 - 3 years of relevant experience

Required Licenses/Certifications

California Licensed Clinical Social Worker (LCSW) Issues by the Behavioral Science - Examiners - Upon Hire (CA LCSW required when assigned to practice in California)

California Licensed Marriage and Family Therapist (LMFT) - Upon Hire (NV LCSW Required when assigned to practice in Nevada)

Basic Life Support (BLS) for Healthcare Providers - Upon Hire

BLS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS) Entry or Prep Curriculum (depending on their previous BLS certification). - Within 3 months of hire into job

Other Experience/Qualifications

• Demonstrates excellent psychosocial assessment skills as well as communication and written skills to facilitate treatment goals.
• Bilingual/bicultural strongly preferred (Spanish).
• Minimum of three years related to psychosocial intervention and counseling services.