Health’s Collaborative Care Program (CCP) is expanding in Oregon. Our mission is to improve quality of life for patients living with behavioral health challenges and chronic medical conditions. We do this by embedding behavioral health into primary care so patients receive coordinated, effective care without barriers.

The Behavioral Health Integration Clinician is a central member of a patient’s collaborative care team. The core team includes the patient’s medical provider and psychiatric consultant. The Behavioral Health Integration Clinician is responsible for providing high quality and evidence based patient support by performing individual assessment and development of treatment plans, providing psychotherapy, coordinating the community and the mental and physical health care of patients on an assigned patient caseload.

• Screen and assess patients for mental health and substance abuse disorders. Facilitate patient engagement, treatment plans, and follow-up care.
• Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate supported by the clinical technology software.
• Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment.
• Provide health behavior and social determinants of health interventions to improve functioning and improvements in medical outcomes.
• Systematically track treatment response and monitor patients (in person, video or by telephone) for changes in clinical symptoms and treatment side effects or complications.
• Provide patient education about common mental health and substance abuse disorders and the available treatment options.
• Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments (e.g. problem-solving treatment or behavioral activation) as clinically indicated.
• Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s medical provider.
• Track patients follow up and clinical outcomes using the EHR. Document in-person, video and telephone encounters in the EHR and use the system and established clinical workflows to identify and re-engage patients.
• Document patient progress and treatment recommendations in EHR and other required systems to be shared with medical providers, psychiatric consultants, and other treating providers.
• Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care.
• Actively participate in process improvement by identifying areas of inefficiency and contributes to opportunities for enhancement.
• Attend meetings and complete therapy primary by video conference with periodic (approximately once a month) visits in person to clinics to connect with the clinicians and administrators to ensure collaborative workflows are in place.
• Clinician will be expected to meet performance metrics each month as determined by the clinical manager and clinical director.

• A minimum of a master’s degree in Social Work, Psychology, Counseling, Rehabilitation, or other relevant field.
• 3-5+ years of experience in behavioral health intervention clinical work, case management, and/or community care coordination.
• Working with various populations, including older adult Medicare populations, who have chronic medical and behavioral health challenges.
• Active independent clinical license in Oregon. Eligible licenses include:
  • Licensed Clinical Social Worker (LCSW)
  • Licensed Professional Counselor (LPC)
  • Licensed Marriage and Family Therapist (LMFT)
  • Licensed Psychologist
• Current enrollment in the state’s Medicaid & Medicare is preferred but eligibility is required.
• The position is hybrid with the many of services provided telephonically or via video. High speed home internet is required.
• Must be proficient in utilizing electronic health records (EHR), scheduling systems, remote phone systems and video systems.

Monday-Friday, 8:00 AM to 4:30 PM Pacific Time

Setting: Remote, must be located in United States. Some travel to Oregon will be required.