Behavioral Health School-based Case Coordinator

  • Full Time
  • Stowe

Behavioral Health School-based Case Coordinator

Full Time

Based in Stowe Public Schools

 

Job Summary:

As a core member of both Lamoille Health Partners Clinical Enterprise (CE) and Behavioral Health & Wellness (BHW) teams, this role integrates with People’s Academy and Stowe Public Schools. The school-based Case Coordinator provides prevention, early identification and intervention strategies, as well as targeted, short-term treatment for behavioral health conditions. This individual works with other school-based therapeutic resources, coordinating the students’ plan of care to support the student in achieving their goals. The School-based Case Coordinator provides healthy lifestyle counseling, education for chronic conditions, and general case coordination for high-risk, socially complex students. This role helps identify and manage unmet needs of the students to ensure appropriate resources are in place to improve outcomes. Additionally, this role supports the family by connecting them to community resources requested by the schools to ensure participation by removing barriers. School-based Case Coordinator integrates care partners in various settings addressing barriers for social determinants of health, medical care and related behavioral health factors that affect health and well-being.

 

Essential Functions:

Perform student assessment interviews, screening as needed to gather information for diagnosis, treatment planning, consultation, and coordination activities.

  1. Diagnose mental health problems and substance use accurately and thoroughly, using established criteria.
  2. Provide short-term therapy for mental health and substance use problems appropriately using established techniques, protocols and strategies if necessary. Short-term therapy may be used to address immediate or crisis issues, however the goal of long-term therapy may be required.
  3. Involves patient in development of treatment plan; coordinates treatment plan with other clinicians and agencies as needed.
  4. Document all patient encounters with treatment notes according to procedure.
  5. Participate in clinical supervision with clinical supervisor to review all active supervised cases on a regular basis.
  6. Provide information and facilitate referral and assistance to those seeking to access these longer-term services.
  7. Coordinate services and build relationships with school-based providers, Lamoille Health Partners BHW and Clinical Enterprise teams, and others as determined.
  8. Actively participate in multiorganizational care teams and case reviews to provide students with wrap-around care coordination through diverse community resources.
  9. Conducts outreach with students and their families through face-to-face, telephone and/or portal contacts in order to facilitate support to achieve self-management goals.
  10. Provides student and family education and instruction on issues of community resources providing students/families with educational materials for self-management that are both paper and web-based.

 

Knowledge and Skills

  1. Master’s Degree in Counseling Psychology, Clinical Psychology or Clinical Social Work.
  2. Licensure as Mental Health Counselor, Psychologist or Clinical Social Worker, or certification as Alcoholism/Substance Abuse Counselor, within an agreed upon time frame.
  3. Three to five years’ experience in private practice, community mental health service or hospital setting beneficial.
  4. Training in a recognized form of psychotherapeutic treatment, cognitive, behavioral therapy or brief solution focused therapy.
  5. Training in medical psychology, hypnosis, behavioral therapy, addictions counseling, group treatment, child/family psychotherapy and/or couples’ counseling

 

 

Substance Use Care Coordinator – Community Health Team

Full time

Morrisville/Stowe

 

JOB SUMMARY:

As a member of the Community Health Team, the Substance Use Care Coordinator works with patients and their families/ caregivers to identify their health goals. Together with the primary care provider and patient, the care coordinator will create a care plan that will support the patient in achieving their goals. Responsible for providing care coordination, transitional care interventions, community resource referrals, behavioral health brief intervention and counseling as well as mental health and substance misuse screening and assessment. This position will aim to develop a therapeutic relationship with patients, while assisting them through the process of better health by providing counseling support, encouragement, and education. Must understand substance use, American Society of Addiction Medicine (ASAM) criteria, family systems, community resources, insurance, regulatory and legal system issues relevant to improved health outcomes for patients. This position works as an integral part of the primary care team providing direct service within patient exam rooms and scheduled office visits.

 

  1. FUNCTIONS and RESPONSIBILITIES
    1. Coordinates patient care with members of the integrated health care team.
      1. Assesses, within the framework of a holistic approach, the biological,  social, emotional, substance use, familial, and financial factors impacting the patient/family’s ability to cope with problems of daily living related to their mental health/ substance use/ chronic disease condition.
      2. May administer and/or review screening tools to assess and respond to patient needs.
      3. Assesses the patient’s needs and readiness for change using motivational interviewing techniques and builds a therapeutic relationship.
      4. Works with patients to develop a self-management plan for their condition and assists them in achieving their goals.
      5. Provides patient/family educational materials and self-management tools on issues of health maintenance and management of chronic conditions.
      6. Collaborates with cross-departmental teams and/or members of partner agencies (peer recovery, harm reduction, schools, DCF, mental health and substance misuse providers) to develop care plans.
        1. Actively participates in multiorganizational care teams and case reviews to provide patients with wrap-around care coordination through diverse community resources.

 

    1. Assists patients in securing appropriate services to ensure adequate access to health and human services.
      1. Meets with patients regularly and performs assessments to determine appropriate behavioral health referral.
      2. Provides individual support to coordinate services across providers and sites of care.
      3. Awareness of ASAM level of care cross walk and DSM criteria foe SUD and able to refer appropriately.
      4. Coordinates with the MAT team when appropriate.
      5. Coordinates referrals to other social services agencies as needed, acting as the client’s advocate.
      6. Assists with securing low cost and free medications for patients who qualify.
      7. Assists patients with financial assistance through sliding fee applications, hospital financial assistance applications, and insurance applications.
      8. Serves as a resource to staff regarding the resources available to meet social needs of patients.
      9. Informs clients of community services available and communicate with other agencies and community-based organizations on clients’ behalf, as needed to facilitate patient health care needs.
      10. Assures that the necessary communication and information sharing occurs among individuals, families, agencies and providers.

 

    1. Provides behavioral brief intervention and counseling.
      1. For patients with immediate mental health needs, provide resources and coping tools.
      2. Set goals with the patient for obtaining longer-term behavioral health care and make a referral to a behavioral health, psychiatric provider, inpatients care or intensive outpatient programs.
      3. Works with the primary care team to support screening tool protocols.  This may include administration, scoring, interpreting, documenting, and treatment planning around results.
      4. Provides brief (30 min) solution- focused behavioral interventions with active development of Behavioral Change planning.
      5. Provides follow up appointments as needed and consistent with our Brief Intervention model of care for a limited duration.
      6. Provides behavioral health counseling when appropriate.
      7. Provides on-site availability for crisis triage, suicide screening and intervention. Provides crisis intervention and utilizes the collaborative assessment for managing suicide (CAMS).
      8. Provides quality clinical consultation to providers and staff as needed in areas of individual, family, child and adolescent regarding mental health and substance misuse related issues that are directly connected to the patient’s health.
      9. Documents the clinical behavioral health aspect of patient interventions and tracks the patient referrals to specialty behavioral health. Completes and submits in a timely manner all encounter forms for billing purposes.
      10. Develop relapse prevention plans.

 

    1. Participates in required departmental activities.
      1. Attends mandatory staff meetings and committee meetings as deemed appropriate by Director of Community Health Integration or MAT Program Manager.
      2. Completes work assigned accurately and in timely manner.
      3. Demonstrates collegiality and commitment relevant to the mission of Lamoille Health Partners and the CHT.
      4. Maintains absolute confidentiality of all patients’ records, medical treatments, and diagnoses, and abide by all Lamoille Health Partners policies and procedures.
      5. Maintains a positive and professional attitude in a fast paced and demanding environment and promotes a smooth interface between medicine and specialized mental/behavioral health care throughout the organization.
      6. Analyzes situations and conditions to identify problems, trends and demands for behavioral health services. Makes appropriate program adjustments and monitors change.

 

  1. QUALIFICATIONS
    1. Education
      1. A clinical mental health or substance use master’s degree from an accredited program or a related discipline appropriate to the position preferred.
    2. Experience
      1. Three years of specialized experience which is in or related to the line of work of the position which has provided the applicant with specific knowledge, skills, and abilities to successfully perform the duties of the position. Preferably experience in substance use, a primary care office, or equivalent in meeting chronic care and mental health needs of patients.
    3. Basic Requirements
      1. Must pass a criminal background check with a Class 1 Fingerprint Clearance Card within the initial ninety (90) calendar days of employment.
      2. Must provide a negative Tuberculosis (TB) skin test upon employment and maintain valid cards during employment.

 

Behavioral Health Care Coordinator – Community Health Team

Full time

Morrisville/Stowe

 

JOB SUMMARY:

As a member of the Community Health Team, the Behavioral Health Care Coordinator works with patients and their families/ caregivers to identify their health goals. Together with the primary care provider and patient, the care coordinator will create a care plan that will support the patient in achieving their goals. Responsible for providing care coordination, transitional care interventions, community resource referrals, behavioral health brief intervention and counseling as well as mental health and substance misuse screening and assessment. This position will aim to develop a therapeutic relationship with patients, while assisting them through the process of better health by providing counseling support, encouragement, and education. Must understand family systems, community resources, insurance, regulatory and legal system issues relevant to improved health outcomes for patients. This position works as an integral part of the primary care team providing direct service within patient exam rooms and scheduled office visits.

 

ESSENTIAL FUNCTIONS

    1. Coordinates patient care with members of the integrated health care team.
      1. Assesses, within the framework of a holistic approach, the biological social, emotional, familial, and financial factors impacting the patient/family’s ability to cope with problems of daily living related to their mental health/chronic disease condition.
      2. May administer and/or review screening tools to assess and respond to patient needs.
      3. Assesses the patient’s needs and readiness for change using motivational interviewing techniques and builds a therapeutic relationship.
      4. Works with patients to develop a self-management plan for their condition and assists them in achieving their goals.
      5. Provides patient/family educational materials and self-management tools on issues of health maintenance and management of chronic conditions.
      6. Collaborates with cross-departmental teams and/or members of partner agencies (schools, DCF, mental health and substance misuse providers) to develop care plans.
        1. Actively participates in multiorganizational care teams and case reviews to provide patients with wrap-around care coordination through diverse community resources.

 

    1. Assists patients in securing appropriate services to ensure adequate access to health and human services.
      1. Meets with patients regularly and performs assessments to determine appropriate behavioral health referral.
      2. Provides individual support to coordinate services across providers and sites of care.
      3. Coordinates referrals to other social services agencies as needed, acting as the client’s advocate.
      4. Assists with securing low cost and free medications for patients who qualify.
      5. Assists patients with financial assistance through sliding fee applications, hospital financial assistance applications, and insurance applications.
      6. Serves as a resource to staff regarding the resources available to meet social needs of patients.
      7. Informs clients of community services available and communicate with other agencies and community-based organizations on clients’ behalf, as needed to facilitate patient health care needs.
      8. Assures that the necessary communication and information sharing occurs among individuals, families, agencies and providers.

 

    1. Provides behavioral brief intervention and counseling.
      1. For patients with immediate mental health needs, provide resources and coping tools.
      2. Set goals with the patient for obtaining longer-term behavioral health care and make a referral to a behavioral health or psychiatric provider.
      3. Works with the primary care team to support screening tool protocols.  This may include administration, scoring, interpreting, documenting, and treatment planning around results.
      4. Provides brief (30 min) solution- focused behavioral interventions with active development of Behavioral Change planning.
      5. Provides follow up appointments as needed and consistent with our Brief Intervention model of care for a limited duration.
      6. Provides behavioral health counseling when appropriate.
      7. Provides on-site availability for crisis triage, suicide screening and intervention. Provides crisis intervention and utilizes the collaborative assessment for managing suicide (CAMS).
      8. Provides quality clinical consultation to providers and staff as needed in areas of individual, family, child and adolescent regarding mental health and substance misuse related issues that are directly connected to the patient’s medical condition.
      9. Documents the clinical behavioral health aspect of patient interventions and tracks the patient referrals to specialty behavioral health. Completes and submits in a timely manner all encounter forms for billing purposes.

 

    1. Participates in required departmental activities.
      1. Attends mandatory staff meetings and committee meetings as deemed appropriate by Director of Community Health Integration.
      2. Completes work assigned accurately and in timely manner.
      3. Demonstrates collegiality and commitment relevant to the mission of Lamoille Health Partners and the CHT.
      4. Maintains absolute confidentiality of all patients’ records, medical treatments, and diagnoses, and abide by all Lamoille Health Partners policies and procedures.
      5. Maintains a positive and professional attitude in a fast paced and demanding environment and promotes a smooth interface between medicine and specialized mental/behavioral health care throughout the organization.
      6. Analyzes situations and conditions to identify problems, trends and demands for behavioral health services. Makes appropriate program adjustments and monitors change.

 

QUALIFICATIONS

    1. Education
      1. A clinical mental health master’s degree from an accredited program or a related discipline appropriate to the position.

 

    1. Experience
      1. Three years of specialized experience which is in or related to the line of work of the position which has provided the applicant with specific knowledge, skills, and abilities to successfully perform the duties of the position. Preferably experience in a primary care office, or equivalent in meeting chronic care and mental health needs of patients.
      2. Experience working with children and families and the systems they are involved with i.e., schools, Department of Children and Families, Lamoille Family Center, etc would be a plus.
      3. Must pass a criminal background check with a Class 1 Fingerprint Clearance Card within the initial ninety (90) calendar days of employment.
      4. Must provide a negative Tuberculosis (TB) skin test upon employment and maintain valid cards during employment.

 

 

Licensed Nursing Assistant

Full Time

Stowe

 

JOB SUMMARY:

 

The Licensed Nursing Assistant will provide care and clinical support to medical office practitioners under the supervision of a licensed RN/LPN, APRN, PA or MD.

 

ESSENTIAL FUNCTIONS:

  1. Using the EMR, maintain patient medical records per company policy and procedures utilizing standard language and abbreviations and following accepted medical standards for documentation.
  2. Assist with provision of routine nursing care to patients within the designated LNA scope defined by the Vermont State Board of Nursing.
  3. Observe universal precaution practices at all times during performance of duties.
  4. Coordinate and prioritize patient flow to include provider’s daily patient schedule and walk-in patients.
  5. Instruct and prepare patient, assemble equipment and assist provider for procedures and routine exams as appropriate.
  6. Assist in screening evaluations as appropriate.
  7. Participate in and manage, as appropriate, communication with other providers and organizations regarding patient orders and/or directives.
  8. Complete diagnostic testing as outlined in current standing orders and as directed by the medical practitioner.
  9. Coordinate and assist in arranging for any laboratory/diagnostic testing and specialty referrals as directed by the medical practitioner, obtaining prior authorization as necessary.
  10. Assist with tracking diagnostic testing and referrals as needed. 
  11. Assist, maintenance and distribution of current and appropriate patient educational materials.
  12. Maintain necessary skills and knowledge to obtain and maintain integrity in the collection, storage, packaging, labeling and transportation of specimens to the lab following Universal Precaution guidelines.
  13. Maintain competencies for Point of Care Testing annually.
  14. Follow CLIA and/or COLA guidelines for laboratory management.
  15. Monitor, maintain and assist with procuring appropriate supplies for clinical setting.
  16. Clean examination room tables, countertops and equipment as appropriate and necessary.
  17. Wash, package, and prepare instruments for sterilization per regulatory guidelines.
  18. Assist administrative staff as needed and able, i.e., schedule patients, answer telephones and medical record management.
  19. Assist with new employee training and on-going training for practice site staff.
  20. Maintain and abide by company policies, procedures and objectives.
  21. Provide quality customer service at all times, communicating effectively with patients in a manner that protects their confidentiality and is sensitive to their physical, emotional, cultural, spiritual and age specific needs.
  22. Assume an appropriate professional demeanor and attire while in the clinic setting.
  23. Actively establish, maintain and work cooperatively with internal and external professional relationships.
  24. Participate in professional activities and consistently seek manners of self-education to broaden knowledge base of clinical, technical and legal developments in the healthcare setting
  25. Assume special projects as directed and recognize opportunities for projects which will benefit the goals of CHSLV.
  26. Support the coordination of activities with other staff in order to support the organizational mission.

 

KNOWLEDGE AND EXPERIENCE:

 

  1. Current Licensed Nursing Assistant certification from Vermont State Board of Nursing.
  2. Previous experience working with patients in a health care setting; medical office setting preferred.
  3. Demonstrated ability to multitask, work in a fast-paced environment, and maintain confidentiality.
  4. Demonstrated ability to deal effectively with patients.
  5. Excellent written and verbal communication skills.

 

 

Medical Assistant

Full Time

Stowe

 

JOB SUMMARY:

 

The Medical Assistant will provide care and clinical support to medical office practitioners under the supervision of a licensed RN/LPN, APRN, PA or MD.

 

ESSENTIAL FUNCTIONS: (Majority of duties, but not meant to be all-inclusive nor prevent other duties from being assigned as necessary.)

 

  • Maintain and abide by the organization’s policies, procedures and objectives.
  • Provide quality customer service at all times, communicating effectively with patients in a manner that protects their confidentiality and is sensitive to their physical, emotional, cultural, spiritual and age specific needs.
  • Assume an appropriate professional demeanor and attire while in the clinic setting.
  • Actively establish, maintain and work cooperatively with internal and external professional relationships.
  • Participate in professional activities and consistently seek manners of self-education  to broaden knowledge base of clinical, technical and legal developments in the healthcare setting
  • Assume special projects as directed and recognize opportunities for projects which will benefit the goals of the organization’s.
  • Using the EMR, maintain patient medical records per the organization’s policy and procedures utilizing standard language and abbreviations and following accepted medical standards for documentation.
  • Assist with provision of routine nursing care to patients while utilizing universal precaution practices at all times.
  • Coordinate and prioritize patient flow to include provider’s daily patient schedule and walk-in patients and
  • Instruct and prepare patient, assemble equipment and assist provider for procedures and routine exams as appropriate.
  • Assist in screening evaluations as appropriate.

 

Participate in and manage, as appropriate, communication with other providers and organizations regarding patient orders and/or directives.

 

  • Complete diagnostic testing ordering as outlined in current standing orders and as directed by the medical practitioner.
  • Coordinate and assist in arranging for any laboratory/diagnostic testing and specialty referrals as directed by the medical practitioner, obtaining prior authorization as necessary.
  • Assist with tracking diagnostic testing and referrals as needed.
  • Assist, maintenance and distribution of current and appropriate patient educational materials.
  • Maintain necessary skills and knowledge to obtain and maintain integrity in the collection, storage, packaging, labeling and transportation of specimens to the lab following Universal Precaution guidelines.
  • Maintain competencies for Point of Care Testing annually.
  • Follow CLIA and/or COLA guidelines for laboratory management.
  • Monitor, maintain and assist with procuring appropriate supplies for clinical setting.
  • Clean examination room tables, countertops and equipment as appropriate and necessary.
  • Wash, package, sterilize and store instruments per regulatory guidelines.
  • Assist administrative staff as needed and able, i.e., schedule patients, answer telephones and medical record management.
  • Assist with new employee training and on-going training for practice site staff.
  • Support the coordination of activities with other staff in order to support the organizational mission.

 

KNOWLEDGE AND EXPERIENCE:

 

  1. Graduate or certification from an accredited school of Clinical Medical Assisting or Licensed Nursing Assistant program or comparable experience.
  2. Previous experience working with patients in a health care setting; medical office setting preferred.
  3. Demonstrated ability to multitask, work in a fast-paced environment, and maintain confidentiality.
  4. Demonstrated ability to deal effectively with patients.
  5. Excellent written and verbal communication skills.
  6. Have knowledge of, or willingness to learn, basic computer and word processing skills.

 

To apply for this job email your details to vemerson@lamoillehealthpartners.org