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Care Coordinator

The DCARE/ Care Coordinator will serve as an integral member of a multidisciplinary team for Psychiatry and the DCARE program providing assessment, intervention and advocacy as needed to patients with varying levels of mental health conditions.  This position requires a high degree of flexibility, independence, and knowledge of the health care system and community resources in order to maximize emotional, social and physical well being of the patients being served in the Outpatient Department of Psychiatry.

Responsibilities:

  • Triage consultation requests from Primary Care Physicians and forward them to the appropriate D-CARE
  • provider, providing timely turnaround of information to primary care practices.
  • Employing a range of interventions, such as care coordination/case management, risk screening and behavior change, interventions, information, or referral and safety planning.
  • Research resources available for adults with behavioral health needs, including but not limited to: outpatient individual orgroup therapy, psychopharmacology, partial hospital programs and inpatient programs, and self-management tools.
  • Effectively track and document calls and outcomes for reporting purposes.
  • Identify and refer to community services as indicated by consultation or communication with patient.
  • Communicate effectively with community-based mental health providers in order to find the most accessible
  •  Resources or patients, taking into account coverage, geography, and availability.
  •  Advocate on behalf of patients and their families to gain access to services and resources.
  • Assist Psychiatrist with follow up patient calls as recommended during consultation for coordination of care needs 
  • Provide backup for answering D-CARE calls or e-mails as needed 
  • Provide support with complex cases for Behavioral Health Support Specialists at Phase 2 practices as needed
  • Document all relevant information in the patient's electronic medical record and D-CARE management database in a timely fashion
  • Collaborate with the local and central behavioral health integration teams (including Medical Director and Program Manager at Partners Population Health Management) to identify areas of opportunity to improve integrated behavioral health management and achieve quality goals
  • Participate in practice outreach and educational presentations, as needed
  • Complete other projects and duties, as needed and specified by BHI Team and/or supervisor

Qualifications:

  • Knowledge, skills and ability to assess patient need for services.
  • Knowledge of community agencies/resources.
  • Knowledge of specific medical/psychiatric illnesses, procedures and treatments, related medications (i.e. psychotropic), acuity versus chronicity
  • Comfort with a patient-centered approach that allows the patient's desires around behavioral change to inform the plan of care.
  • Ability to advocate/negotiate systems for/with patients.
  • Ability to maintain effective working relationships with patients/families and staff.
  • Excellent interpersonal and written and verbal communication skills
  • Ability to work well in interdisciplinary teams including health care providers and office staff, representatives from Primary Care, Psychiatry, Social Work, and Population Health Management and to build collaborative relationships
  • Ability to work independently with minimal supervision
  • Excellent advocacy and collaboration skills
  • Excellent organizational skills
  • Strong computer and database skills
  • Maintains patient/family confidentiality
  •  EEO Statement 
  • Massachusetts General Hospital is an Equal Opportunity Employer.  By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged. 

Partners Careers Link:

http://www.massgeneral.org/careers/jobsearch.aspx