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Medical Director Services PC seeks a Behavioral Health Care Manager (BHCM) to support its Collaborative Care Model (CoCM) across Skilled Nursing Facilities in Georgia. The BHCM will engage residents with depression and anxiety, coordinate care with PCPs and a consulting psychiatrist, and track outcomes using validated tools.
The role emphasizes telephonic/virtual outreach, time-management across multiple facilities, and compliant EMR documentation to ensure high-quality, measurable care in a
Behavioral Health Care Manager (LMSW/LCSW) – SNF | CoCM Program
We are an established SNF physician group seeking a Behavioral Health Care Manager (BHCM) to support our Collaborative Care Model (CoCM) program across Skilled Nursing Facilities (SNFs) in Georgia. This role focuses on managing residents with depression, anxiety, and other behavioral health conditions through a structured, team-based model in partnership with primary care providers and a consulting psychiatrist.
This is a high-impact, population health role centered on resident engagement, care coordination, and outcomes tracking.
Conduct resident outreach and follow-up (primarily telephonic/virtual; coordinate with on-site SNF staff)
Administer and track PHQ-9, GAD-7, and other screening tools
Maintain a behavioral health registry and monitor clinical outcomes
Provide brief, evidence-based interventions (behavioral activation, supportive counseling, motivational interviewing)
Collaborate closely with SNF nursing staff, PCPs, and care teams
Present cases during weekly psychiatric case reviews and implement recommendations
Track and document time and services in compliance with CoCM billing requirements
Ensure accurate, timely, and compliant EMR documentation
Active Georgia license as:
LMSW (under appropriate supervision) or
LCSW (independent practice eligible)
Experience in behavioral health, SNF/long-term care, or care management preferred
Strong communication and interdisciplinary collaboration skills
Ability to manage a high-volume caseload
Comfortable working across multiple facilities and care teams
Proficiency with EMRs and documentation workflows
High resident engagement and follow-up compliance
Improvement in PHQ-9/GAD-7 scores and behavioral health outcomes
Strong collaboration with facility staff and providers
Accurate documentation supporting CoCM billing and quality standards
Hybrid role supporting multiple SNFs across Georgia
Team-based model including:
Primary Care Providers (MD/DO/NP/PA)
Consulting Psychiatrist
SNF nursing and administrative staff
Competitive salary based on licensure (LMSW vs LCSW) and experience
Great clinical resources, training and structured supervision available
Opportunity to grow within a scalable, team-based behavioral health program
Help bring behavioral health access to underserved SNF populations
Work within an innovative, evidence-based care model
Be part of a rapidly growing program with strong clinical support