ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: SCMG Behavioral Health Consultant, Psychologist

REPORTS TO POSITION: Clinical Manager Integrated Behavioral Health

DEPARTMENT: Integrated Behavioral Health

DATE LAST REVIEWED: September 25, 2020

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The Integrated Behavioral Health Department includes Doctoral Level Psychologists and Licensed Clinical Social Workers embedded into primary care and specialty medical settings, using primarily the Primary Care Behavioral Health (PCBH) model of integrated care. We support the health and wellbeing of community members. Integrated care is an interdisciplinary and collaborative approach to healthcare that combines biomedical and behavioral health in a seamless system; providing comprehensive services to address the full range of human experience, taking special consideration of interconnected nature of physical, mental, emotional, and social wellbeing.

POSITION OVERVIEW:

The Behavioral Health Consultant (BHC) works in a consultative role alongside Primary Care Providers, providing behavioral health assessments and interventions to primary care patients. The BHC is an integral member of the primary care team whose role is to help address a broad spectrum of behavioral health needs in the primary care patient population. The BHC aids in early identification and provides brief, solution-focused interventions that promote wellness and prevention for as many patients as possible. The BHC provides same-day consultative services to primary care providers and patients for a broad array of behavioral health issues in the form of assessment, brief interventions, and triage of psychosocial problems in the clinic patient population.

This position requires advanced skills in conducting brief assessments using a biopsychosocial model and delivering brief evidence-based interventions including psychoeducation, Cognitive-Behavioral Therapy (CBT), Motivational Interviewing, Problems Solving Therapy, Behavioral Activation and other short-term solution-focused interventions. The goal is to improve overall health and quality of life of patients with a variety of physical, emotional, and behavioral needs. The BHC work also includes providing curbside consultations to primary care providers and providing recommendations to the primary care team to enhance the patient's care plan. When indicated, the BHC may also work with patients for a limited number of follow-up sessions to provide ongoing skills training and coaching to improve health and functioning. The BHC will also triage patients and help ensure smooth coordination of care with community partners for patients who require more intensive specialty services not provided in the primary care clinic.

This position does not directly manage any other caregivers.

This position qualifies for the National Health Service Corps Loan Repayment Program.

• Work schedule: The psychologist will work a minimum of 40 hours per week.
• Call expectation: There are no call expectations for this position.
• Work location: The psychologist primary work location will be the Madras Family Care clinic in Madras, Oregon. Other locations may be added as patient and business needs dictate.

ESSENTIAL FUNCTIONS AND DUTIES:

Clinical Responsibilities:

• Ability to work closely with a multidisciplinary team and in partnership with primary care providers (PCP) to promote patient and population health. Plans and provides psychological assessment and diagnosis in a primary care setting with brief psychotherapeutic interventions as needed.
• Ability to conduct brief assessments using a biopsychosocial model, validated screening tools and help provide diagnostic clarity to primary care providers. Ability to conduct brief evidence-based interventions including psychoeducation, Cognitive-Behavioral Therapy (CBT), Motivational Interviewing, Problem Solving Therapy-Primary Care (PST-PC), and Behavioral Activation (BA) or other short-term, solution focused interventions.
• Ability to promote health and health behavior change by conducting evidence-based interventions for common medical problems including but not limited to diabetes, insomnia, hypertension, headaches, chronic pain, weight management, asthma, smoking cessation, and somatization.
• Provides targeted assessment and evaluation, including diagnostic impression and functional status on presenting problem(s).
• Ability to assess patients for common mental health problems (e.g. depression and anxiety) and effectively triage patients and coordinate with providers and community partners to refer patients who require more intensive specialty services not provided in the clinic and succinct feedback to primary care physicians regarding consultation findings and recommendations.
• Ability to adapt and work in a fast-paced environment including maintaining visible presence to PCPs during clinic hours; BHC may see between 8 - 12 patients per day.
• Ability to prepare brief notes in the medical record that explain assessment findings, interventions delivered, and recommendations made to the primary care provider. Ability to effectively communicate verbally with PCPs, other team members, and patients and families.
• Demonstrated competencies in working with child, adolescent, adult and/or geriatric patients (depending upon population served by specific position).
• Ability to conduct group psychosocial education classes is desirable.
• Document all patient care in the proper form and in a timely manner in compliance with hospital policies and regulatory agencies.
• Delivers first rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.

Non-Clinical Responsibilities:

• Be familiar with the SCMG organization structure, communications systems and billing process, completing billing and coding documentation within time assigned by SCMG administration.
• Keep all licenses and appropriate certifications current and unrestricted.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• Increase understanding and collaboration throughout the medical community regarding provider's chosen specialty.

Provider Leadership:

• Participate in SCMG provider meetings and assist in policy formation for SCMG and provider practice.
• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Participates in creating intentional relationships, and put a high level of focus on attitudes and behaviors that enhance the care experience.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Provides and maintains a safe environment for caregivers, patients and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
• Supports the vision, mission and values of the organization in all respects.
• Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provides and maintains a safe environment for caregivers, patients and guests.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
• May perform additional duties of similar complexity within the organization, as required or assigned.
• Must maintain compliance of hospital's Medical Staff Bylaws, Rules and Regulations, as required by SCHS Board of Directors.

EDUCATION

Required :

• Graduation from an accredited college or university.
• Successful completion of an accredited doctorate program in psychology.
• Successful completion of Psychology Internship
• Successful completion of Psychology Residency

Continuing Education & Competency:

• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

LICENSURE/CERTIFICATION/REGISTRATION

Required :

• License to practice Psychology in the State of Oregon.
• Valid driver's license and ability to meet SCHS driving requirements.
• Maintain unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Maintain AHA Basic Life Support for Healthcare Provider certification.

EXPERIENCE

Required :

• Experience in clinical psychology setting.

Preferred :

• Experience with in Primary Care Behavioral Health program or medical setting.

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

General Skills:

Communication/Interpersonal:

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees.
• Strong team working and collaborative skills.
• Ability to effectively reach consensus with a diverse population with differing needs. Ability to manage facilitation and
• Consensus building among health care professionals and agencies and achieve expected results.

Organizational:

• Ability to multi-task and work independently.
• Pays attention to detail.
• Possess excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Possess strong analytical, problem solving and decision making skills.
• Possess excellent organizational and multi-tasking skills.

• Computer:
• Possess basic to intermediate ability and experience in computer applications, specifically electronic medical records system and Microsoft Office (Word, Excel and Access)
• Possess basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL's.

St Charles Health System Standards :

• Provide information and services that enhance others' ability to acquire what they need or to complete the task at hand. Share information both when requested and when anticipating someone might have a need.
• Is present and punctual for assigned work days, in compliance with the SCHS policy on attendance.
• Collaborate willingly with others to meet goals.
• Participate openly and honestly, sharing opinions, knowledge and experience.
• Address concerns of those impacted by a change or decision before taking action.
• Comply with all SCHS policies and procedures.
• Attend annually mandated in services and maintain documentation of attendance.
• Maintain and upgrade professional and technical competency in area of practice (through in service training, reading, continuing education or other methods and maintains documentation).
• Maintain confidentiality of patient, customer, and co-worker information.
• Consistently maintain a calm and pleasant tone and appropriate demeanor with others.
• Display attentiveness to others' needs, concerns and ideas. Asks questions and summarizes to confirm understanding.
• Address conflicts directly and promptly, focusing on problem-solving and a positive outcome.
• Value individuals and their diversity by creating and supporting a climate for success, as evidenced in peer feedback or self-reporting.
• Consistently demonstrate flexibility by meeting the changing needs of the customer.
• Manage time effectively to meet deadlines and commitments.
• Propose ideas for solving problems, improving processes or providing new services
• Demonstrate fiscal stewardship in the use of hospital resources.

**Nothing in this job description is intended, nor shall be interpreted, as a grant or approval of medical staff membership or clinical privileges. By law and applicable accreditation standards, medical staff membership and clinical privileges can be granted or approved only by a hospital's medical staff and governing body. Employment processes and requirements, which are governed primarily by the human resources policies of St. Charles, are separate and distinct from medical staff membership and clinical privileging processes and requirements, which are governed primarily by the bylaws and policies of the hospital medical staff. Accordingly, employed physicians and providers of St. Charles are required at all relevant times not only to satisfy the requirements and perform the duties set forth in this job description, but, also, to satisfy the requirements and perform the duties for obtaining and maintain appropriate medical staff membership and clinical privileges.

PHYSICAL REQUIREMENTS:

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, keyboard operation.
• Occasionally (25%): Standing, walking, bending, stooping/kneeling/crouching, climbing stairs, reaching overhead, lifting/carrying/pushing or pulling 1-10 pounds, grasping/squeezing, operation of a motor vehicle, ability to hear whispered speech level.
• Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds.
• Exposure to Elemental Factors
• Occasionally (25%): Chemical solution for Laboratory Caregivers.
• Rarely (10%): Wet/slippery area.
• Never (0%): Heat, cold, noise, dust, vibration, chemical solution, uneven surface.
• Blood-Borne Pathogen (BBP) Exposure Category
• Risk for Exposure to BBP

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