What are the responsibilities and job description for the Behavioral Health Specialist position at Mass General Brigham Health Plan?
The Opportunity
Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Severe Mental Illness (SMI) and Substance Use Disorders (SUD).
As the behavioral health clinical expert on the Interdisciplinary Care Team, the Behavioral Health Specialist partners with the Interdisciplinary Care Team, facilities, and providers to address behavioral health challenges, evaluate treatment options, and implement targeted strategies and interventions.
Essential Functions
*Collaborate with interdisciplinary care teams (ICT)-including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities-to support program enhancements, process improvements, care coordination, discharge planning, and aftercare.
*Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision-making regarding enrollees' care.
*Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services.
*Develop, update, and implement enrollee-centered care plans in collaboration with enrollees and care teams, promoting self-care, shared decision-making, and addressing identified needs through routine engagement and proactive outreach.
*Conduct outreach, assessments, and home visits via telephonic, electronic, or in-person contact for identified enrollees, including routine evaluations and post-transition care.
*Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalate behavioral health needs during weekly case conferences.
*Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, progress toward goals, care needs, utilization plans, and follow-up.
*Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately within electronic medical record systems.
*Serve as a key resource and liaison within the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor.
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Our promise as a people-first organization starts with our employees. AllWays Health Partners is committed to diversity, equity, and inclusion in our workforce, internal culture, and investments. As an equal opportunity employer, AllWays Health Partners recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives, and backgrounds.
- Master's Degree, Field of Study: Licensed Independent Clinical Social Worker (LICSW)required
- Certified Case Management Certification preferred
- Previous counseling experience 5-7 years required
- Minimum 3 years of direct clinical experience required
- Experience with community case management preferred
- Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred
- NCQA experience preferred
Skills for Success
- Competency in working with multiple health care computer platforms, nice to have EPIC experience
- Experience working with individuals with complex medical, behavioral, and social needs
- Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams
- Critical thinking and problem-solving skills. Demonstrates autonomy in decision making
- Strong organizational skills with an ability to manage routine work, triage and reset priorities as needed
- Interpersonal skills and ability to work effectively with providers and their staff to develop rapport, build trust, and promote Population Health initiatives. Excellent oral, written, and telephonic skills and abilities
- Competency in working with multiple health care computer platforms
- Ability to work effectively in a complex fast paced medical environment and multiple practice locations
- Ability to work independently while contributing to a collaborative team environment
- Knowledge of healthcare and community services to assist enrollees effectively
- Must be comfortable with change, have the ability to adapt and pivot as part of continuous process improvement activities
Working Model Required
- M-F Eastern Business Hours required 830a-5pm ET
- Onsite Practice-based, remote work and enrollee in-person home and community visits
- Weekly multiple days in field needed, will vary
- Reliable transportation and valid driver's license required
- Must be local, ideally in Eastern, MA. Community capable with autonomy to build own schedule to accommodate member's needs. With flexibility required based on member needs
- Must be flexible for training, field work and business needs, this can very per week in person, as well as telephonic or virtual assessments are possible.
- Field work may be increased as the program launches
- Remote working days require stable, quiet, secure, compliant working station using MGB provided equipment and Teams Video access
Our goal will be to geographically align employees, this depends on residence, and can vary based on business needs, member enrollment and team staffing.
Employee must accommodate the hybrid work model, including practice-based, remote work and enrollee in-person home and community visits.
The population will primarily include enrollees residing in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollee enrollment trends.
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Our promise as a people-first organization starts with our employees. AllWays Health Partners is committed to diversity, equity, and inclusion in our workforce, internal culture, and investments. As an equal opportunity employer, AllWays Health Partners recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives, and backgrounds.