Certified Community Behavioral Health Clinics (CCBHC’s) seek to improve the behavioral health of their communities by: providing outpatient mental and substance use disorder services; advancing integration of behavioral health with physical health care; assimilating and utilizing evidence-based practices on a more consistent basis; and promoting improved access to high quality care.
ResponsibilitiesGeneral Responsibilities:
Assess and re-evaluate patient needs utilizing information from EHR and additional tools as appropriate to determine patient needs and preferences and communicate those to all treatment participantsCreate an Integrated Care Plan in conjunction with the patient and/or caregiverEnsure the patient understands the Care Plan and is equipped to follow itIdentify and address all barriers that might impede the ability of the patient to care for themselvesAssemble appropriate team of professionals to assist in meeting patient needs, organize patient care activities and share information among all participantsAssist the patient/caretaker in navigating the health system while addressing any insurance coverage issuesUpdate assessment and care plan at least every 90 daysUtilize the Integrated Care Plan to drive all activities and servicesProvide information and feedback in daily Huddles regarding needs, plans/interventions/resultsResearch ways to meet needs and put action steps in place, monitor for progressAdvocate on behalf of the patientFollow up regularly with patient to ensure needs are being met and identify any changes to patient circumstances, any compliance concernsConsult with treatment team when noncompliance is foundProvide training on disease management and healthy living skillsProvides initial Diabetes Care IntroductionProvide support and education for patient and their support systemFacilitate securing/providing medical records when patient is in the hospital, ED, etc.Track and support patients when they obtain services outside the practice.Follow-up with patients within a few days of an emergency room visit or hospital discharge.Communicate test results and care plans to patients/families.Collaborate and consult with staff members and outside sources in the delivery and arrangement of servicesDemonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situationEffectively demonstrates the application of adult specific competenciesSupervision and Consultation:
Seek supervision and consultation as neededAccept and employs suggestions for improvementActively works to enhance skillsClinical Record Keeping:
Document in a timely fashion per AltaPointe policyDocument in a clear and concise manner.Document legiblyCourteous and respectful attitudes towards consumers, visitors, and co-workers:
Treat patients with care, dignity, and respectRespect privacy and confidentialityAssist others as neededAdopt a teamwork approach with coworkersAdministrative and Other Related Duties as Assigned:
Actively participates in Performance Improvement activitiesActively participates in AltaPointe committees as requiredCompletes assigned tasks in a timely mannerFollows AltaPointe policies and proceduresAttends appropriate in-services training and other workshopsQualifications
Bachelor’s degree in a behavioral health or social services related discipline preferred. HSD or GED with 2 years of experience working with individulas with psychiatric, substance use, and/or developmental disabilities required in lieu of degree. Must meet all driving requirements.
Knowledge in adult specialties, outlined below, to be attained within six (6) months of employment:
Psychiatric disorders in adult populationsChronic medical conditionsTrauma Informed CareCultural diversitySocial determinants of healthHow to administer and utilize basic assessment tools to assess needs and create an Integrated Care PlanResources available to meet the needs of patients based on payor sourceUtilizing electronic health recordsBehavior management, crisis intervention and interventions common to acute psychotic consumers, as well as, to non-violent crisis intervention practices.