Behavioral Health Care Manager

Family Health Center; Worcester (MA); On-site; USD 65,000 - 90,000; Full time

Job summary

Family Health Center in Worcester, MA is seeking a Behavioral Health Care Manager to support members with complex behavioral health needs in a collaborative, patient-centered care team. The role requires outreach across settings, including health centers, community sites, or homes, and emphasizes education, self-management, and coordinated care.

The position focuses on motivating patients, managing transitions, and ensuring follow-up within an integrated care framework; typical schedule is

Qualifications

• Licensed clinical social worker or licensed mental health counselor.
• Master’s degree in psychology, social work, or related field preferred.
• 2–5 years of patient-centered outreach and behavioral health experience.

Responsibilities

• Conducts comprehensive clinical assessments.
• Engages members and caregivers in active care planning and education.
• Coordinate care with primary care teams and pharmacists.
• Provide care coordination and facilitate referrals and follow-ups.
• Maintain accurate documentation in EHRs.
• Participate in integrated care team meetings.

Skills

Clinical assessments

Care planning

Motivational interviewing

Care coordination

Education

LCSW/LICSW or LMHC

Master’s in Psychology or Social Work

Tools

EHR systems

Job description

Position Summary

As an integral member of the care management team the Behavioral Health (BH) Care Manager (CM) will have the opportunity to make a profound impact on the lives of individuals living with complex and/ or chronic Behavioral Health conditions, many of whom also face multiple barriers in their lives which makes it difficult for them to achieve the self-care required to improve their health and well-being. This position requires flexibility, creativity, and may vary from day-to-day to meet members where they are. Outreach methods may vary and may include telephonic or in person in a variety of potential settings such as but not limited to, the health center, community, home, or inpatient facility.

• Conducts Comprehensive Clinical Assessments
• Engages members and care givers in active care planning with a focus on medical, behavioral, social, member-centered care needs. Coaches and guides member/representative to meet bio/psycho/social care goals.
• Assess the member’s knowledge of their medical, behavioral health, and/or social conditions and provides education and self-management support based on the member’s needs and preferences.
• Work with the member to develop a self-management plan
• Coordinate care with the member's providers such as the primary care team, facilitate medication reconciliation with pharmacist, RN and/or primary care team.
• Provide care coordination, which may include but is not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up.
• Manage treatment access and follow up with members with coexisting medical and behavioral disorders
• Use motivation interviewing and coaching to help patients to increase their motivation and commitment to change their behavior and to strengthen their motivation for and movement toward a specific goal.
• Participates in the integrated care team meetings and rounds as required.
• Maintain accurate, timely documentation in electronic systems including health center Electronic Health Records (EHRs)
• Other duties as assigned.

Job Description

Job Description

Position Summary

As an integral member of the care management team the Behavioral Health (BH) Care Manager (CM) will have the opportunity to make a profound impact on the lives of individuals living with complex and/ or chronic Behavioral Health conditions, many of whom also face multiple barriers in their lives which makes it difficult for them to achieve the self-care required to improve their health and well-being. This position requires flexibility, creativity, and may vary from day-to-day to meet members where they are. Outreach methods may vary and may include telephonic or in person in a variety of potential settings such as but not limited to, the health center, community, home, or inpatient facility.

Essential Duties And Responsibilities

• Conducts Comprehensive Clinical Assessments
• Engages members and care givers in active care planning with a focus on medical, behavioral, social, member-centered care needs. Coaches and guides member/representative to meet bio/psycho/social care goals.
• Assess the member’s knowledge of their medical, behavioral health, and/or social conditions and provides education and self-management support based on the member’s needs and preferences.
• Work with the member to develop a self-management plan
• Coordinate care with the member's providers such as the primary care team, facilitate medication reconciliation with pharmacist, RN and/or primary care team.
• Provide care coordination, which may include but is not limited to facilitating care transitions, supporting the completion of referrals, and/or providing or confirming appropriate follow-up.
• Manage treatment access and follow up with members with coexisting medical and behavioral disorders
• Use motivation interviewing and coaching to help patients to increase their motivation and commitment to change their behavior and to strengthen their motivation for and movement toward a specific goal.
• Participates in the integrated care team meetings and rounds as required.
• Maintain accurate, timely documentation in electronic systems including health center Electronic Health Records (EHRs)
• Other duties as assigned.

Qualifications And Education Requirements

Education and Experience:

Licensed Clinical Social Worker (LCSW or LICSW), or Licensed Mental Health Counselor (LMHC). Master’s Degree in Psychology, Social Work, or related field preferred. Minimum 2-5 years of experience providing patient-centered outreach, behavioral health services, needs assessment and support. Reports to the Director of Care Management. Monday - Friday; 8:30am -5:00pm.