POSITION SUMMARY:

Under the direction of the Behavioral Health Services Director, provide for and oversees the appropriate level of coordinated health care services for patients of APLA Health & Wellness. Staff will provide and promote health and wellness through MethCare services, and education to people living with methamphetamine addiction and other chronic substance abuse issues. As part of the Behavioral Health (BH) Team, and in conjunction with the Behavioral Health Services Director & Chief Medical Officer, provides assessment, integrated care planning, and progress monitoring for patients enrolled in MethCare Program. The Patient Care Manager II will coordinate patient care and collaborate with other health care team members to establish the patients goals, develop treatment plans and obtain desired outcomes as well as provide patient education based on identified learning needs utilizing available teaching resources

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Complete bio-psychosocial assessments; develop a treatment plan, and coordinate appropriate referrals that address the collaborative clinical goals of clinician and patient and document in treatment care plans.
• Identify highrisk patients, conduct initial screening & risk assessments, conduct intake & assessment, develop a patient centered risk reduction treatment plan with patients; implement documentation according to departmental requirements.
• Provide behavioral health referrals, advocacy, and service information to patients.
• Evaluate patients for eligibility for MethCare enrollment. Determine patient acuity and assist in the development of an integrated care plan to address assessed needs.
• Conduct brief interventions for enrolled patients focusing on improving patients status as it relates to issues of addiction, mental health distress, risk reduction, etc.
• Use the Transtheoretical model of behavior change to support improved health outcomes for MethCare patients including treatment engagement and retention, MAT medication adherence, risk reduction, and health provider communication.
• Maintain ongoing contact with MethCare patients and monitor progress related to goals set in the individual care plan.
• Participate in quality improvement activities as directed by the Behavioral Health Services Director, e.g. data analysis and measurement of outcomes, document and report the results and accomplishments of quality improvement initiatives
• Coordinate and communicate among members of the MethCare patients care team including medical providers, mental health/addiction providers, allied health, community resources, and other team members. Participate in interdisciplinary case conferences for assigned patients.
• Screen, assess, and plan appropriate interventions to minimize patient risk of acquiring or transmitting sexually transmitted infections.
• Document services in eClinicalWorks, and/or other charting and data collection systems as appropriate. Documentation will be performed in a timely and accurate fashion in accordance with program policies and professional standards of care.
• Adhere to all applicable professional, legal, and ethical standards of behavioral health practice in the provision of services, including but not limited to: mandated reporting, provision of effective services, case documentation, patient confidentiality/HIPAA regulations, ensuring patient safety, and maintaining professional boundaries.
• Attend trainings and case conference meetings as required.
• Prepare monthly reports and statistics as requested.
• Supervision of Medical Care Manager, Retention Outreach Specialist and Case Worker

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

REQUIREMENTS:

Training and Experience:

A Masters Degree in Social Work (MSW), or Counseling (MFT). Knowledge of behavioral health issues and effective treatment modalities; LGBT behavioral health issues; ability to perform differential diagnosis using the DSM-V; various theoretical orientations; treatment modalities; clinical techniques and interventions; treatment planning; biopsychosocial assessment; crisis intervention and reporting obligations; SUD risk reduction counseling; reporting obligations and available community services and resources; motivational interviewing, theories of change and harm reduction methods.

Ability to:

Communicate effectively orally and in writing; organize work in an effective manner; work in a collaborative, interdisciplinary, fast paced environment; work effectively independently and as part of a team; communicate and relate to a variety of personalities, ethnicities, and sexual orientations; complete documentation in a comprehensive and timely fashion in accordance with APLA H&W policies.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.

SPECIAL REQUIREMENTS:

Must possess a valid California drivers license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.

COVID Vaccination and booster required or medical/religious exemption.

Equal Opportunity Employer: minority/female/disability/veteran.