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Cherokee Indian Hospital Authority is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).  To read more about this, view the EEO is the Law poster and this EEO is the Law Poster Supplement

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Behavioral Health Consultant I
Job Code:2019-08-026
Department:Analenisgi
FT/PT Status:Regular Full Time
Salary Minimum45512
Salary Midpoint56891
  
Position Closes:
Open Until Filled

Job Responsibilities & Qualifications:

Job Summary

Responsible for working with integrated healthcare team of Primary Care Providers, Pharmacists, Dietitians, and Nursing & support staff to provide quality health care to patients and their families. Responsible for working with the integrated team to recognize and address psychological symptoms and conditions using the bio-psychosocial model.  Provide behavioral health consultation to children, adolescents, adults, and families in order to improve psychosocial functioning.

This position has a job progression of two levels, designed to provide progressively more responsible and independent work experiences to participants as part of the overall assessment of their ability and capability.  Promotion between levels is based on performance on prior assignments, the demonstrated ability to successfully handle more progressively responsible assignments and attainment of valid North Carolina licensure.

Essential Duties and Responsibilities

Direct Service Duties:

  • Creates, develops, and nurtures culturally appropriate interactions and connections with each other, customer-owners, and the community.
  • Provides professional expertise and consultation to the primary care provider.
  • Devises and proposes changes and innovations to achieve more effective working relationships and improve performance and services provided and connections with other departments.
  • Works with Primary Care Providers to develop the “core” behavioral health skills needed on an integrated primary care team.
  • Makes appropriate referrals to the Crisis Intervention Team and seeks resources to aid customer-owners.
  • Assists, leads, or co-leads customer-owner case conferences and customer-owner support or counseling groups with the primary care provider.
  • Works with members of treatment team (internal and, where appropriate, external), including mentors, educational and vocational instructors, clinical staff, etc., to further the goals of the individual educational and/or treatment plans.
  • Develops and maintains a trusting and partnering relationship with assigned customer-owners in order to assist in the success of the treatment plan.
  • Works with provider to monitor and manage “at risk” and “chronic” customer-owners.
  • Works to improve provider and customer-owner working relationship.
  • Performs assessment and brief treatment for a wide range of psychological disorders using brief therapy.
  • Obtains complete and accurate information in a courteous, respectful and culturally sensitive manner in order to determine a diagnosis and appropriate treatment plan.
  • Assesses the treatment needs of the customer-owners, and designs and implements various treatments indicated to best meet customer-owner needs.
  • Participates in presenting customer-owner reviews to a multi-disciplinary team and accepts and provides feedback regarding clinical issues.
  • Establishes and maintains liaison with other related professional services within the organization to ensure that all clinical requirements are provided for customer-owners.
  • Strives to ensure that appropriate diagnostic evaluations and treatment plans are achieved in order to provide highest quality of care for the customer-owner.
  • Advises customer-owners and family members in methods that facilitate a capacity for self-care and a movement towards a healthcare partnership between the healthcare providers, the customer-owners, and their families.
  • Provides on-call coverage for care of customer-owners with emergent psychiatric needs.
  • Provides effective triage of customer-owners in need of specialty behavioral health.
  • Participates in fulfilling the mission, vision, goals and objectives of the organization.
  • Works with other staff in the department as a member of the department and the system.
  • Assists in committee and other duties within the department.
  • Assist in maintaining a clean work environment including adequate supplies and upkeep of unit and equipment.  Assists in reporting defective or missing equipment and safety hazards.  Assists in disaster planning and activities.
  • Coordinates and works with other team members to ensure the efficient and effective flow of customer-owners through the department.
  • Starts on time and works with other team members to ensure a timely flow of customer-owners.
  • Intervenes and diffuses situations involving agitated, confused or emotional customer-owners, and/or family members.
  • Develops and maintains interpersonal relationships to be effective team member within a department which is focused on team building.
  • Maintains currency of job knowledge and skills to assist customer-owners in assuming self-care and to provide customer-owners and family members with appropriate information regarding home care. Skill in empathic interpersonal relationships is a priority for this position since the perception of the customer-owner must be that the staff is interested in attending to their needs.
  • Works effectively with the general public and occasionally handle the hostile or disgruntled customer-owner.
  • Develops treatment plans based on assessment information that are documented appropriately, including identified goal(s), behavioral/psychological problem statement, measurable objectives and estimated time frames for achievement.
  • May occasionally need to respond to a consultation request from the emergency department or inpatient unit.
  • Assists in attaining and maintaining accreditation by the Joint Commission of Health Care Organizations.
  • Participates in division/program meetings to review and identify opportunities to improve the program and treatment provided, and recommend corrective action when problems are identified. This includes assisting with changes in policy and procedure, which would improve the care of service delivery.

Communications & Teamwork:

  • Shares and receives information, opinions, concerns, and feedback in a supportive manner.
  • Works collaboratively by building bridges, and creating rapport with team members within departments and across the organization.
  • Communicates effectively.
  • Performs job duties as a member of the primary care team.
  • Provides simultaneous focus on health and behavioral health issues.
  • Attends Outpatient and/or Pediatric staff meetings, training sessions, and planning and problem solving sessions.
  • Participates in regularly scheduled individual and group supervisory sessions.
  • Develops educational, training materials and conducts sessions or disseminates information to primary care team on recent advances in the field.
  • Utilize professional communication and conflict resolution skills with customer-owners and staff.
  • Effectively coordinates with multi-disciplinary team and CIHA providers in accomplishing goals/objectives of treatment plan.
  • Present clinical presentations at clinical review meetings.

Improvement & Innovation:

  • Makes meaningful improvement to services, program, and processes and/or organizational effectiveness that creates new value for customer-owners and employees.
  • Works in coordination with management to develop and implement a quality assurance program.

Workforce Development Skills & Abilities:

  • Seeks out additional learning opportunities to continue to develop the technical and professional skills needed now and in the future.
  • Takes responsibility for all work activities and personal actions by following through on commitments.
  • Consults and coordinates with the Primary Care Providers (PCP).
  • Supports provider decision making and builds on provider-customer-owner interventions.
  • Works in coordination with the PCP and case managers to develop treatment plans for customer-owners.
  • Adheres to agency policy regarding documentation and medical records procedures.
  • Exposure to and training in evidence based procedures.
  • Timely record all treatment and clinically significant events for the medical record in the manner prescribed by CIHA policies and procedures.
  • Practices appropriate assessment techniques, diagnosis, and treatment of psychiatric disorders in children, adolescents, and adults.
  • Applies appropriate counsel for sexual abuse and domestic violence issues.
  • Efficiently and effectively manages multiple clinical tasks.
  • Evaluates suicidal individuals or individuals in crisis and manages their safe disposition.
  • Maintain quality, safety and infection control standards.
  • Perform comprehensive clinical assessment of population served.
  • Utilize assessment information and collateral information to conceptualize customer-owner psychopathology.
  • Accurately and routinely utilize the DSM 5 and assessment information to accurately diagnose individuals treated.
  • Independently produce professional and accurate written work (assessments, treatment plans, documentation, and discharge summary reports with minimal supervisory correction or editing.
  • Utilize different therapeutic modalities including group therapy, individual, child, family, couples counseling, family support services and wrap around services.
  • Independently develop, coordinate and facilitate psycho-educational classes, groups and customer-owner activities as relevant to treatment plan/program.
  • Demonstrates expanding capability to be self-directed in the management of responsibilities.
  • Apply knowledge of and experience with a broad repertoire of psychotherapeutic skills from a variety of theoretical perspectives e.g. play therapy with children, cognitive behavioral and psychodynamic therapy with adults, psychoeducational therapy and family therapy.  Group therapy experience and documented individual therapy skills are essential.
  • Provide comfort to precept and instruct health care providers at various levels.
  • Learn and effectively utilize an electronic medical record and other software required for operation in the CIHA system.
  • Other duties as assigned.

Education/Experience/Minimum Qualifications

  • Master’s Degree in social work, psychology, or counseling; OR PhD/PsyD in Clinical or Counseling Psychology; OR current certification by the American Academy of Nurse Practitioners or American Nurse Credentialing Center, (NP) required. Degree must be obtained from an accredited university that is accepted by appropriate licensing agencies in NC.
  • Must be licensed in NC in specific discipline including:
    • Licensed Clinical Social Work, Licensed Marriage Family Therapist, Licensed Psychological Practitioner or Licensed Profession Counselor
    • Full or provisional license (Licensed Clinical Social Worker Associate; Licensed Professional Counselor Associate; Licensed Psychological Associate)
    • If a Nurse Practitioner, current North Carolina Licensure
  • Must be approved for and maintain medical credentialing, upon hire.
  • Must possess valid drivers' license.
  • Ages of population(s) served: All ages.
  • Specific experience working with Native Americans preferred.

Job Knowledge

  • Knowledge of individual, group and couples/family modalities with expertise in crises intervention with individual and families experiencing acute episodes of distress.
  • Ability to ascertain the potential lethality of a situation and respond and refer accordingly.
  • Ability to learn computerized treatment systems such as the Electronic Medical Record, RPMS and ability to maintain records and files manually and on the computer.
  • Displays originality and initiative to complete daily performance of tasks.
  • Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems.
  • Knowledge of a wide range of medical, behavioral and psychosocial problems and their treatment.
  • Knowledge of governmental and private organizations and resources in the community.
  • Knowledge of the laws, regulations, and policies, which govern the program.
  • Knowledge of medical terminology, disease processes, and their treatment as they relate to decisions regarding clinical interventions and appropriate therapies based on medical or psychological diagnosis.
  • Knowledge of substance abuse to include diagnostic criteria for abuse, dependence, intoxication and withdrawal of all drug classifications, methods of evaluation and assessment, impact of behavioral health issues on patients ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients.
  • Skill in establishing rapport with a patient and in applying techniques of assessing psychological, behavioral, and psychosocial aspects of patients problems.
  • Willingness to learn more about Cherokee culture/population and to have considerations for this when identified.
  • Ability to establish and maintain effective working relationships with members of caseload and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community.
  • Ability to express ideas clearly and concisely and to plan and execute work effectively.

Complexity of Duties

This position is responsible for assisting in maximizing the available resources to meet the behavioral health needs of the community. Must have the ability to interpret policy, laws and regulations in order to make decisions when a precedent is not available. Duties require the application of clinical judgment and problem solving skills in order to be effective. Judgment often involves decisions that may have life or death results.

Supervision Received

Works under the direct guidance assigned supervisor, manager and/or behavioral health clinical director where responsibilities and assignments are often broadly defined. Position must demonstrate considerable initiative and ability to work independently within applicable licensing regulations where latitude for creative thinking, initiative and discretion are given to achieve department goals and objectives. Position must communicate effectively with supervisor to ensure alignment with organizational goals, mission, vision and values.

Responsibility for Accuracy

Failure to provide adequate clinical services or to properly manage and direct activities could result in poor client outcomes, delays in patient treatment, and negative patient and community relations. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. Accuracy of data and research is critical in the allocation of tribal resources. Employee is responsible for the adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for the tribe, or serious health risks to patients.

Contact with Others

Interacts frequently with coworkers, hospital staff, patients, stakeholders and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Serves on various local, community, and health committees, boards and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality is required when dealing with patients and families.

Confidential Data

The provision of medical care requires that the incumbent maintain strict appropriate confidentiality regarding all patient information. The employee will have access to patient records and highly confidential information and must function with utmost integrity to safe guard this information. The employee complies with EBCI policy on confidentiality of patient records, Cherokee Indian Hospital Authority Confidentiality policy, HIPAA, and other federal law requirements. Violations of confidentiality regulations may result inter-disciplinary action and other action as allowed by federal regulations. 

Mental/Visual/Physical Environment

Job duties can be mentally and emotionally stressful at times given the complexity of the duties, management and supervision of staff and the clinical areas being addressed with the people being served. Close mental concentration and attention to detail are required. Physical activities require the ability to be mobile, sit, reach, bend, and be in front of groups and deliver training for extended periods of time. Some physical exertion and stamina is required such as required to transport training materials or to travel. Must have visual acuity, manual dexterity, and the ability to speak and hear. Must be able to lift 30 lbs. 

  • Position requires: stand (under 1/3 time); walk (under 1/3 time); sit (to 2/3 time); talk or hear (over 2/3 time).
  • Weight lifted or force exerted: none.
  • Special vision requirements: Close vision (clear vision at 20 inches or less).

Work Environment

The employee works primarily in a hospital, inpatient or outpatient clinical environment but may be required to work at other offices and locations. The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, and irritant chemical and explosive gases. Employee must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions.

Some travel is required.  Infrequent overnight travel may be required for meetings or to attend training. 

Customer Service

Consistently demonstrates superior customer service to patients/customers by displaying Culture of Caring behaviors and skills. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.

Emergency Privileges

In the case of an emergency, any member of the Medical Staff, to the degree permitted by his/her license shall be permitted to do everything possible to save a patient’s life or save a patient from serious harm, regardless of the individual’s clinical privileges. This shall be defined as those situations in which a delay could result in serious harm or death and in which a more qualified member is not immediately available.