Behavioral Health Care Manager

Epic Health System Llc; Southfield (MI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation

Medical, Dental, and Vision benefits

Disability and Life Insurance

401(k) Retirement Plan

Paid Time Off and Holidays

Professional development and ongoing培训

Job summary

EPIC Health in Southfield, MI seeks a Master’s-level Social Worker to join its Collaborative Care Model as a Behavioral Health Care Manager. You’ll support patients with care coordination, education, and proactive follow-up alongside PCPs, psychiatric consultants, and the care team.

The role emphasizes integrated care, patient engagement, and improving behavioral health outcomes through assessments, safety planning, and population management using a CoCM registry.

Qualifications

• MSW from a CSWE-accredited program.
• Current social work licensure appropriate to the state of practice.
• Prior professional experience in behavioral health is required.
• Experience with depression, anxiety, and other behavioral health conditions.
• Knowledge of behavioral health assessment, psychosocial interventions, crisis/safety assessment, and care coordination.
• Strong communication, documentation, organization, and patient engagement skills.
• Ability to manage a patient population through structured registry management and systematic follow-up.
• Ability to work effectively within an interdisciplinary healthcare team.

Responsibilities

• Identify, enroll, and engage patients appropriate for the CoCM program.
• Conduct behavioral health, psychosocial, and social needs assessments.
• Administer and monitor PHQ-9, GAD-7, and other screening tools.
• Provide proactive patient outreach, follow-up, education, and brief interventions.
• Monitor patient progress and escalate as needed.
• Coordinate referrals to specialty behavioral health and community resources.
• Maintain CoCM registry and documentation.

Skills

MSW

Social work licensure

Communication skills

Patient engagement

Care coordination

Team collaboration

Education

Master's Degree in Social Work (MSW)

Tools

EHR systems

Care management platforms

Job description

Department: Behavioral Health / Clinical Operations

Location: Southfield, MI | On-Site

Employment Type: Full-Time

Reports To: Clinical/Behavioral Health Leadership

Education: Master's Degree in Social Work (MSW)

Position Summary

EPIC Health is seeking a Behavioral Health Care Manager (BHCM) to support patients through our Collaborative Care Model (CoCM). This role provides behavioral health support, care coordination, patient education, and proactive follow-up while working closely with primary care providers, psychiatric consultants, and the interdisciplinary care team.

The ideal candidate is an experienced Master's-level Social Worker who is passionate about integrated care, patient engagement, and improving behavioral health outcomes.

What You'll Do

Patient Care & Behavioral Health

• Identify, enroll, and engage patients appropriate for the CoCM program.
• Conduct behavioral health, psychosocial, and social needs assessments.
• Administer and monitor PHQ-9, GAD-7, and other behavioral health screening tools.
• Provide proactive patient outreach, follow-up, education, and brief evidence-informed interventions within professional scope.
• Monitor patient progress and identify patients who are not improving or require additional intervention.
• Conduct appropriate safety/crisis assessments and follow established escalation protocols.

Care Coordination

• Maintain and regularly update the CoCM patient registry.
• Prepare appropriate patients for psychiatric consultant case reviews.
• Communicate psychiatric recommendations to PCPs and track follow-up.
• Coordinate referrals to specialty behavioral health and community resources.
• Address social determinants of health, including transportation, housing, food insecurity, financial barriers, and access to care.
• Collaborate with PCPs, psychiatric consultants, Care Management, and other members of the care team.

Documentation & Quality

• Maintain accurate and timely documentation of assessments, outreach, interventions, referrals, and care plans.
• Support CoCM reporting, quality initiatives, and compliance requirements.
• Participate in team meetings, case reviews, training, and continuous improvement initiatives.
• Maintain patient confidentiality and comply with HIPAA and organizational policies.

What You Bring

Required Qualifications

• Master's Degree in Social Work (MSW) from a CSWE-accredited program.
• Current social work licensure/credentialing appropriate to the state of practice.
• Prior professional experience in behavioral health is required.
• Experience working with depression, anxiety, and other behavioral health conditions.
• Knowledge of behavioral health assessment, psychosocial interventions, crisis/safety assessment, and care coordination.
• Strong communication, documentation, organization, and patient engagement skills.
• Ability to manage a patient population through structured registry management and systematic follow-up.
• Ability to work effectively within an interdisciplinary healthcare team.

Preferred Qualifications

• Experience in CoCM, integrated behavioral health, primary care, or community mental health.
• Experience with measurement-based behavioral healthcare.
• Experience using PHQ-9, GAD-7, and other validated assessment tools.
• Experience providing brief behavioral health interventions.
• Experience working with primary care and psychiatric providers.
• Experience with EHR and care management platforms.

Key Performance Expectations

• Timely engagement and follow-up of assigned patients.
• Accurate and current CoCM registry management.
• Completion of assessments and reassessments within established timeframes.
• Consistent psychiatric case review and follow-through on recommendations.
• Appropriate identification and escalation of clinical or safety concerns.
• Complete, accurate, and timely documentation.
• Demonstrated progress toward patient-centered behavioral health goals.
• Achievement of established productivity, quality, and patient engagement expectations.

Why Join EPIC Health?

At EPIC Health, you'll help integrate behavioral health into primary care and make a meaningful difference in the lives of the patients and communities we serve.

What We Offer

• Competitive compensation
• Medical, Dental, and Vision benefits
• Disability and Life Insurance
• 401(k) Retirement Plan
• Paid Time Off and Holiday Pay
• Professional development and ongoing training

Background checks are required for this role.