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The House Calls Behavioral Health Specialist will coordinate and perform community-based behavioral healthcare for Oak Street Health's highest-risk patients and support the care team in managing psychosocial, mental health, and substance abuse needs.
Job Responsibility:
Collaborate with OSH At-Home providers and Psychiatric Consult to identify and intervene with patients with psychosocial, community resource, and/or behavioral health needs
function as the behavioral health and community resource expert on the OSH At-Home care team and actively contribute during team meetings
facilitate goals of care and advance care planning discussions with patients and families in collaboration with their medical providers
manage referrals for patients requiring specialized services through resource connections
actively manage the shared BH registry to track individual patient progress of treatment toward target
prepare and attend weekly registry review sessions with Psychiatric consult
screen and assess patients for common mental health and substance use disorders
develop care plans and facilitate referrals to external resources
provide short-term counseling and evidence-based treatments within the Collaborative Care Model
accurate and timely documentation of patient encounters in Oak Street's electronic medical record
other duties, as assigned.
Requirements:
Comfort and ability to work in a variety of environments, including patients' homes
demonstrated ability to collaborate effectively in a team setting
comfort supporting patients who are facing significant health, psychosocial and/or mental health issues
experience with performing comprehensive biopsychosocial health, mental health and substance abuse disorder assessments
experience with assessment and treatment planning for those with common mental health and/or substance use disorders and complex psychosocial needs
working knowledge of differential diagnosis and psychosocial treatments of common mental health and/or substance use disorders
competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
no-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
benefit solutions including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access.
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