Behavioral Health High Acuity Team (BHAT) Specialist - (Remote)
Highmark HealthAbout the role
Company :
Highmark Inc.Job Description :
JOB SUMMARY
This job provides telephonic case management services to members with mental health/substance use and co-morbid chronic medical conditions offering integrated and comprehensive interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health, physical health, and social determinants of health needs to establish member driven care plans and mutually agreeable short and long-term goals. They support members in developing self-management skills and adopting positive behavior changes; identify and address gaps in care; resolve barriers to evidence-based care; help to coordinate comprehensive healthcare services and navigate the healthcare system; and link with virtual and community-based resources. The overall goal is to help members navigate the health care system and develop condition self-management skills through behavior change.
ESSENTIAL RESPONSIBILITIES
- Function as a primary integrated case manager for members with mental health/substance use and co-morbid chronic medical conditions to provide comprehensive case management interventions.
- Conduct telephonic clinical and psycho-social assessments to address the health and wellness needs of the Organization's members.
- Utilize standard case management approach to manage members’ conditions (Motivational interviewing; Develop plans of care; Establish a plan for contact to review progress/assess needs; Communicate with treating provider(s); Identify community-based resources for long-term maintenance).
- Collaborate with case and condition management teams to provide co-management activities for members who require additional services.
- Participate in ongoing training and educational activities related to behavioral health and medical topics.
- Pro-actively incorporate lifestyle improvement and prevention opportunities into member interactions and coaching.
- Provide education on evidenced based treatment.
- Provide members with resources and tools to assist in health-related decision making.
- Assess for social determinants of health and link members with community resources to eliminate barriers.
- Collaborate with key community and clinical partners.
- Other duties as assigned or requested.
EDUCATION
Required
- High School Diploma/GED with RN license
OR
- Master’s Degree if Licensed Behavioral Health Professional or Licensed Social Work
Substitutions
- None
Preferred
- None
EXPERIENCE
Required
- 5 years of Post licensure experience in any combination of behavioral health clinical, case management and/or condition management
Preferred
- 5 years of Advanced training and experience in cognitive behavioral therapy (CBT) and or DBT
- 5 years of Experience working with healthcare needs of populations with SMI and substance use disorders
- 5 years of Experience working with the healthcare needs of diverse populations
- 5 years of Understanding of the drug and alcohol system, harm reduction and community resources
- 5 years of Crisis management
- 5 years of Understanding how SMI, addiction, and medical co-morbidities affect families
- Proficiency in a second language
LICENSES or CERTIFICATIONS
Required
One of the following:
- Registered Nurse (RN)
- Licensed Professional Counselor (LPC)
- Licensed Clinical Social Worker (LCSW)
- Licensed Social Worker (LSW)
- Licensed Marriage and Family Therapist (LMFT)
Preferred
- Certified Case Manager
- CAC - Certified Addiction Counselor
SKILLS
- Advanced knowledge of motivational interviewing and stages of change
- Proficiency in utilizing PC-based system application and reporting packages, especially Microsoft Office application
- Understanding of confidentiality laws as they pertain to Drug and Alcohol and Behavioral Health
- Knowledge of evidenced based practices as it relates to treatment of SMI/OUD/behavioral health
- Excellent verbal and written communication skills as well as the ability to manage multiple priorities in a rapidly changing environment
Languages (Other than English)
None
Travel Required
None
PHYSICAL, MENTAL AND WORKING CONDITIONS
Position Type
Office Based
Teaches / trains others regularly
Does Not Apply
Tra
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