Community health nurse [h1.location_city]

Position Title : Behavioral Health Community Partnership (BHCP) Nurse Case Manager

Department : Social Services

Supervisor : Director of Nursing

Status / Hours Per Week : Non-exempt / 35 hours

Pay Range : The expected base pay for the position is $36-$65.02 per hour and may be increased based on other factors, such as language, certifications, etc.

Primary Function :

The Behavioral Health Community Partnership Nurse Case Manager [BHCP RN Case Manager] functions under the supervision of the Director of Nursing and overall guidance and consultation with the Medical Director and other Primary Care Providers to conduct patient monitoring, tracking, and provide ongoing care coordination and support to patients with behavioral health issues that are enrolled in BHCP. The BHCP RN Case Manager ensures patients' adequate linkages with behavioral health counseling, all levels of substance use care, including medication assisted treatment, and chronic pain management care.

Duties & Responsibilities :

• Receive and maintain a log of all patients enrolled in BHCP, and ensure adequate follow up and care coordination.
• Serve as Clinical Care Manager for enrollees referred to the team, participating in the assessment, care planning, and on-going BHCP service provision specified in program protocols and policies.
• Review and approve Comprehensive Health Assessments for members including performing medication reconciliations.
• Make patient referrals to behavioral health, and human services providers at the Health Center for needed services such as primary care and other substance use and mental health care.
• Make "warm handoffs" and coordinate support to needed services at external organizations including hospitals, substance use treatment programs, etc.
• Follow up with members post-discharge to ensure members are seen by a Primary Care provider in a timely manner.
• Monitor and track patients including progress in their treatment plan and update PCPs and other members of the team.
• Participate in multi-disciplinary team meetings, utilization review, and program planning.
• Participate in consultation, sharing of resources and best practices with other Riverside Community Partner teams.

Minimum Basic Knowledge :

Experience & Qualifications :

Essential Functions :

Physical Requirements :

Supervisory Responsibility :

None

Define Access Level to PHI : Level 4 : Authorized to access full health information. UCHC position and job responsibilities involve the provision of patient care and working as a clinical team member. Staff in this category level, although allowed full access, should only access the necessary information for each respective treatment encounter / circumstance.