The candidate is a Licensed Professional Mental Health Counselor (LPMHC) assigned to a BHIP team under Mental Health and Behavioral Medicine Service under the supervision of the Chief of Psychology. Provides care coordination services (including but not limited to biopsychosocial assessment, walk-in/crisis services, education, provision of self-management resources) and other clinical tasks as needed for Veterans receiving services in BHIP. Care coordination (including care management and/or case management) includes determining and monitoring care coordination needs over time, providing care coordination, and facilitating follow-up and outreach as needed to promote proactive, personalized care and care continuity.
Responsible for following national guidance, local policy and SOPs for the MHS. This includes following policies and documentation requirements as required for CARF and The Joint Commission accreditation as well as other internal and external requirements.
Actively participates in program planning and development, advising the supervisor of shifting trends with care coordination needs and caseloads and identifying the need for making recommendations on program procedures and/or policy changes based upon work experiences.
Takes responsibility for improving professional skills, participating in planning, and executing specific staff development projects, attending seminars and institutes, and participating in training programs of other disciplines as requested.
In the primary provision of care coordination (and direct clinical care as needed) in patients from the adult (less than 65 years of age) to the geriatric (greater than 65 years of age), the employee recognizes age-related needs and demonstrates knowledge and care appropriate to that age group. In the performance of official duties, the incumbent has regular access to the printed and electronic files containing sensitive data which must be protected under provision of the Privacy Act of 1974 and other applicable laws, Federal Regulations, and VA statutes and policy. Is responsible for protecting data from unauthorized release of access codes, etc., as stated in the computer access agreement which the incumbent signs.
The incumbent is responsible for completing the following duties/responsibilities:
a. Provides a full range of services within commonly accepted standards of practice and prioritizes care coordination activities as the primary job function [e.g., needs assessment, chart reviews, care, or case management (as needed), discharge planning, outreach, etc.] and other services as appropriate.
b. Provides care coordination (including care management or case management) to Veterans and families, as needed, throughout the continuum of care. This includes communication within and across care lines to facilitate continuity of care for Veterans.
c. Conducts biopsychosocial assessments to determine care coordination and treatment needs of Veterans
d. Provides consultation/education to Veterans and families on VA resources (including self-management tools), community resources, Advance Directives and VA benefits.
e. Will be an active participant in the treatment planning process with other disciplines.
f. Participates in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that is timely and appropriate to promote care continuity.
g. Acts as a clinical resource/point-of-contact to Veterans and other team/staff members.
h. Acts as liaison between VA and community resources, to include education and bidirectional communication that promotes seamless care.
i. Though not a core function of this position, there may be times when the incumbent may provide individual, family and group counseling as appropriate.
j. Provides wellness/prevention education and may facilitate patient/family educational/bridging supportive sessions as appropriate.
k. Documents interventions and activities in patient's electronic health record and ensure appropriate hand-off communication and documentation when transferring patient care.
l. Maintains familiarity and share responsibility with other team members for performance measures relevant to the BHIP team.
m. Performs other BHIP-related duties as directed by the Supervisor, such as, but not limited to: training/mentoring and oversight of new staff & those not yet clinically licensed, and preparing for and training staff on CARF & The Joint Commission standards and accreditation process.
n. Participates in committee assignments, as deemed necessary by the Service Chief.
Work Schedule: Monday - Friday 8:00am to 4:30pm, Rotating Weekends and Holidays
Telework: Available for highly qualified candidates
Virtual: This is not a virtual position.
Functional Statement #: 000000
Financial Disclosure Report: Not required
