Job Descriptions

Behavioral Health Care Manager

DUTIES AND RESPONSIBILITIES

1. Support and closely coordinate behavioral health care with the patient’s primary care provider and, when appropriate, other treating behavioral health providers.
2. Screen and assess patients for common behavioral and substance abuse disorders.
3. Provide patient education about common behavioral health and substance abuse disorders and available treatment options.
4. Monitor patients (in person or by telephone) for changes in clinical symptoms and treatment side effects or complications.
5. Support psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and effectiveness of treatment.
6. Provide brief interventions using evidence-based techniques such as Behavioral Activation, Problem-Solving Treatment, Motivational Interviewing, or other treatments appropriate for primary care settings.
7. Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments as clinically indicated.
8. Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s PCP. Consultations will focus on patients new to treatment or who are not improving as expected.
9. Facilitate patient engagement and follow-up in care.
10. Track patient follow up and clinical outcomes using an electronic tracking system. Document in person and telephone encounters in the tracking system and use it to identify and re-engage patients.
11. Document patient progress and treatment recommendations in the electronic tracking system so they may be easily shared with PCPs, the psychiatric consultant, and other treating providers.
12. Facilitate treatment plan changes for patients who are not improving as expected in consultation with the PCP and the psychiatric consultant. These may include changes in medications or psychosocial treatments or appropriate referrals for additional services.
13. Facilitate referrals for clinically indicated services outside the primary care clinic (e.g., social services such as housing assistance, vocational rehabilitation, behavioral health specialty care, substance abuse treatment).
14. Complete relapse prevention plan with patients who are in remission.
15. Process specialty referrals for psychiatry.
16. Process all psychiatric referrals for clinics.
17. Assist in scheduling Behavioral Health appointments for therapy and psychiatry when needed.
18. Screen and coordinate Behavioral Health phone calls/EHR messages from patients.

 

REQUIREMENTS

• Bachelor’s degree, with preference for social work, psychology, or related field OR LVN degree for nurse with equivalent behavioral health experience.
• Bilingual in Spanish and English.
• Demonstrated ability to collaborate effectively in a team setting.
• Ability to maintain effective and professional relationships with patients and other members of the care team.
• Strong communication skills.
• Ability to effectively engage patients in a therapeutic relationship
• Ability to work with patients by telephone or in person.
• Working knowledge of common behavioral health and substance use disorders and their psychosocial treatments

Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation), when appropriate

DESIRED

• Experience working with underserved, transient populations
• Experience working with patients who have co-occurring mental health, substance abuse, and physical health problems.
• Experience with evidence-based counseling techniques, when appropriate

Staff Clinical Registered Nurse

Staff Clinical Registered Nurses (RN) work within a patient-centered team-based care environment to provide excellent patient care services within scope of practice as established by the Nurse Board of California. RN are members of patient-centered care teams.  RN create access to care for patients by determining acuity of patient care when access is limited by providing excellent communication with patients. RN develop and maintain relationship, communication, and nursing skills with the overall goal of providing excellent patient-centered treatment, care, and services in a team environment. Services including routine primary care at a FQHC may include but not limited to adult, pediatric, gynecology, prenatal, and behavioral health. This role reports to the Director of Nursing.

 

DUTIES AND RESPONSIBILITES:

Staff Clinical Registered Nurses are responsible for knowing their legal scope of practice as defined by the Registered Nurse Practice Act and as delineated in this policy. The clinic RN is responsible for maintaining clinical competence with regards to these skills and activities expected of a licensed nurse.  IBCC will support the registered nurse’s educational needs with regard to new skills or maintenance of skills and knowledge base in any required activity.  A nurse should not perform an activity when the nurse does not feel clinically competent or questions the legal scope of practice for that activity. Questions should be directed to the nurses’ immediate supervisor for clarification.

 

1. Adheres to the IBCC Mission, Vision, and Values, Standards of Conduct and HIPAA principles.
2. Coordinates duties with and from licensed providers, Director of Nursing and Medical Director and Chief Executive Officer.
3. Consistently adheres to and/or exceed IBCC’s communication guidelines and expectations with patients, peers, and supervisors.

• Communicates effectively by using welcoming words, proper tone of voice appropriate body language, eye contact. Greets every patient with a verbal greeting, eye contact and a smile.
• Listens skillfully and displays a willingness and ability to acknowledge patients and others’ needs, expectations, and values using reflective listening and empathy conveyance.
• Responds to patients and others needs in ways that are helpful and beyond expectation.
• Builds positive relationships with patients and other IBCC staff to maximize accessibility of care to all patients.

4. Demonstrates excellent teamwork skills. Works collaboratively with other personnel to process and complete the patient encounter. Communicates effectively with care team throughout the day
5. Work with care team to actively manage the patient schedule to optimize efficiency and patient experience. Attends and contributes to departmental team huddle
6. Work collaboratively with Care Team to optimize communication, coordinate needed services and meet the needs of the patient.e. Lab/ BH/referrals/Outreach
7. Care coordination and/or case management for continuity of care (i.e. ER/Hospital) co-visits in collaboration with providers
8. Collects and records patient data for including but not limited to vitals and basic medical history. Records results of treatment and responses to care in the medical record, consistent with IBCC documentation protocols and standing orders or provider written/verbal instructions
9. Administers medications and vaccines as directed by licensed doctor, NP/CNM or standing orders
10. Collecting and preserving specimen, non- invasive technique
11. Performs emergency first aid and BLS/CPR. Manage/ support staff with clinic emergencies
12. Nursing management of but not limited to foley catheters, colostomies, gastrostomy tubes, wound care
13. Execute minor procedures i.e. staple and suture removals
14. Provides patient information instructions and education may include but not limited to: chronic disease management, cancer screenings, family planning and immunization
15. Assist patient and provider with medication refills per protocol, calls to pharmacies for routine, new medication refills and/or medication clarifications, obtains medication information and reports back to licensed provider and other items as needed.
16. Triage Lab results and manage abnormal lab results with
17. Provide proactive utilization management for patients with acute high-risk needs, (i.e seniors on multiple meds)
18. Prevent inappropriate utilization of emergency room services
19. Oversee Care Team Medical Assistant administration of immunizations and medications, both injection and oral within the office visit.
20. Assist with patient transfers to/from emergency room
21. Provide Nurse Visits for designated conditions per clinical protocol (i.e. walk in pregnancy test)  
22. Participate in activities related to addressing the social determinates of a patient’s health.
23. Actively seek out opportunities to assist other team members in collaboratively meeting the needs of the patient and care team.
24. Assist in the adoption and implementation of new technologies and activities that improve patient care and clinic efficiencies.
25. Phone Triage and Nurse Care Management.
26. Other duties as assigned by the Director of Nursing.

 

 

Additional Duties and Responsibilities:

1. Participates in continuous quality improvement activities and patient-centered medical home team meetings and trainings, and is receptive to accepting other job duties as assigned and as delegated
2. Assists in responding to and resolving patient complaints as needed or directing patients to appropriate staff.
3. Participates in staff education and training activities in communication, care coordination, population management and program evaluation, as required
4. Enhances professional growth and development through participation in IBCC staff meetings, education and training activities for clinical staff, educational programs, in-services, meetings, and /or workshops. Maintains required competencies as established.
5. Maintains facility management by abiding by quality assurance, safety, environmental, infection control standards including following infection disease precautions to prevent the spread of organisms.
6. Point of contact for MA staff /other departmental questions regarding nursing care and/or CLIA Waived tests

1. Assist with report submission as dictated
2. Reports any clinical concerns or safety issues to clinic managers or directors

9. Performs other related duties as assigned or requested by nurse director or leadership team members

 

QUALIFICATIONS:  

Education:

1. Bachelor’s degree from four-year college or university preferred
2. Graduate of an accredited school of nursing.

Certification/Licensure:

1. Maintain current State of California nurse licensure
2. Maintain CPR certification, PPD and other vaccinations

Experience:

1. Minimum two years’ experience and/or training; or equivalent combination of education and experience.
2. Experience in FQHC preferred.

Skills:

1. Excellent organizational and interpersonal communication skills.
2. Demonstrated ability to manage multiple priorities.
3. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
4. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and physicians.

Other Requirements:

1. Must convey a professional demeanor.
2. Must be able to act calmly and effectively in a busy situation.
3. Ability to communicate effectively in the English language in person, by phone and in writing.
4. Requires adherence to all policies and procedures, including standards for safety, attendance, punctuality and personal appearance.
5. Must be able to establish and maintain effective working relationships with managers and peers.
6. Spanish translation is encouraged

 

 

Physical Requirements:

 

Hearing: Adequate to perform job duties in person and over the telephone.

Speaking: Must be able to communicate clearly in person and over the telephone.

Vision: Visual acuity adequate to perform job duties, including reading information from printed

sources and computer screens.

Other: Requires frequent bending, reaching, standing, walking, squatting and sitting, pushing and

pulling exerted regularly throughout a regular work shift. Requires manual dexterity to operate equipment and perform manual responsibilities.

 

Medical Assistant

 

Medical Assistant

RESPONSIBILITIES:

Supports the mission, vision and values of Imperial Beach Community Clinic. Develops relationship, communication, and MA skills with the overall goal of providing excellent patient-centered treatment, care, and services in a team environment.

 

• Works within a team-care environment to provide excellent patient care services within scope of practice as established by the Medical Board of California.
• Participates in staff education and training activities in communication, care coordination, population management and program evaluation, as required.
• Coordinates duties with and from licensed providers, RNs, LVNs, Director of Nursing and Senior Leadership.
• Participates in pre-visit planning through team huddles
• Creates opportunities for patient access
• Communicates effectively with care team throughout the day
• Maintains efficient patient care flow throughout the day
• Provides continuity of care for the patient within the care team for that day coordinating with other departments as needed i.e. lab/CM/outreach
• Collects and records patient data for vital signs, height, weight, and basic medical history
• Administers medications and vaccines
• Collects specimens and in-house diagnostic tests
• Performs uncomplicated wound care
• Conducts non-invasive treatments (e.g. ear lavage)
• Assists in ambulation and transfers
• Prepares patients for procedures, does set up for procedures and assists provider as delegated
• Provides patient instructions and education upon authorization of the provider
• Performs emergency first aid and CPR when delegated
• Records results of treatment and responses to care in the medical record, consistent with IBCC protocols in general documenting
• Participates in staff education and training activities in CPR/ IBCC requirements. Maintains required competencies as established
• Assists in facility management including keeping patient areas clean and safe
• Assists in responding to and resolving patient complaints as needed.
• Proactively assumes responsibility for continuous improvement activities and is receptive to accepting other job duties as assigned and as delegated.
• Conducts audio and vision screenings
• Performs collateral duties such as maintenance logs, vaccine temps, oxygen, glucometer
• L.A.D.D. internal and external customer service
• Professional conduct, attire and appearance
• Checking EHR frequently for messages from providers and contacting patients regarding results over the phone
• Helping out other MAs when they are busy (part of team environment). Being proactive rather than reactive.

KNOWLEDGE OF: Basic MA procedures and medical terminology.

SKILLS: Basic computer and data entry skills; excellent communication and customer service skills.

ABILITY TO: Handle multiple priorities, build positive relationships, maintain a positive attitude and a warm and friendly demeanor; efficiently work in a team environment; travel as required for assigned site(s) and designated meetings/trainings. Lift and/or move up to 40 pounds and push 100 pounds on wheels. Specific vision abilities include close vision and the ability to adjust focus; high manual dexterity; reach above shoulder level; bend; squat; sit; stand; stoop; crouch; reach; kneel; twist/turn; have good finger sensation; hearing adequate for phone work; and clear speech for staff and patient communication.

• Adheres to the IBCC Mission, Vision, and Values, Standards of Conduct and HIPPA principles
• Consistently adheres to and/or exceeds IBCC’s communication guidelines and expectations with
  patients, peers, and supervisors. Greets every patient with a verbal greeting, eye contact and a smile. Communicates effectively by using welcoming words, proper tone of voice appropriate body language, eye contact and smiling in patient interactions. Listens skillfully and displays a willingness and ability to acknowledge patient needs, expectations and values through the use of reflective listening and empathy conveyance. Responds to patient needs in ways that are helpful and beyond expectation.
• Collaboratively works with patients to positively affect their health outcomes.
• Builds positive relationships with other staff to maximize accessibility of care to all patients.
• Participates in continuous quality improvement activities and patient-centered medical home team meetings and trainings, and is receptive to accepting other job duties as assigned and as delegated

Knowledge: Customer service,

Ability to: Work well with people; communicate effectively and respectfully in English and/or other languages;