Engage in an initial clinical member biopsychosocial intake including a safety screen and administering BH assessments (PHQ-9, GAD-7, etc.)
Engage in follow-up visits and asynchronous interactions, including brief interventions (e.g., behavioral activation, mindfulness, psychoeducation, etc.)
Be the key care coordinator and act as a liaison between the referring specialist and the practice, ensuring if there is a member question or administrative question, it is answered or triaged to the appropriate team within Cerula Care
Lead the interdisciplinary team meetings on a weekly basis with the Consulting Psychiatrist and Health Coach, ensuring all high-risk members are discussed and all new psychiatric recommendations are documented in the chart
Communicate closely on an ongoing basis with the Cerula Care behavioral health care team (Coaches and Psychiatrist)
Document member progress in a HIPAA-compliant electronic medical record system and client registry provided by Cerula Care
Identify patients who are not improving and may need more intensive mental health care and report any concerns to the medical provider and the Consulting Psychiatrist
Facilitate referrals for clinically indicated services outside of Cerula Care under the supervision of the BHCM Lead (e.g., SMI).
Requirements
Must have LCSW licensure and be licensed to practice in Maryland, USA
Bachelor’s Degree Required in nursing, social work, or other health and human services disciplines from an accredited college or university.
Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred
Qualified applicants must have at least one year of clinical care management experience, with some part of the experience directly working with people with cancer or advanced illness (e.g., cancer coaching, palliative care, etc.)