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Full Time Social Worker Job Valdosta, GA

2024-8340

19 days ago

Posted by: Defense Health Agency

Employer: Defense Health Agency

Job Description

POSITION DUTIES: The DHA Primary Care Behavioral Health Program provides a team-based approach to healthcare byintegrating behavioral health providers and registered nurses into Patient Centered Medical Homesto deliver outstanding, evidence-based biopsychosocial assessment, treatment, prevention andmanagement of behavioral health problems and bio psychosocially influenced health conditions forMilitary Health System beneficiaries. MAJOR DUTIES 1. Patient Care and Documentation Functions as a full-time integrated team member in the primary care clinic using the Primary CareBehavioral Health (PCBH) model of service delivery. Screens and assesses patients, and performsPCBH model appropriate biopsychosocial evaluations using expert knowledge of general and specificconcepts, principles, procedures, and practices relating to clinical, clinical health, and primary carepsychology. Provides targeted assessment and evaluation of functional status focused in the contextof the presenting problem. Conducts brief assessments and formulates evidence-basedinterventions appropriate to a primary care setting for a wide range of behavioral health conditions,chronic medical conditions, and health behaviors affecting medical conditions. Provides evaluation,intervention and relapse prevention services in appointments lasting no more than 30 minutes forinitial and follow-up visits. Uses a stepped-care approach to maximize delivery of care within thePCMH. Triage and refers patients to Specialty Behavioral Health Care when services required exceed the BHC scope of practice. Assists with implementation and monitoring of treatment plans withPrimary Care Managers (PCMs) and other primary care team members. Use objective andmeasurable outcomes to evaluate treatment effectiveness and make adjustments if appropriate forincreased adherence and efficacy. Provide high level expertise in human behavior as a primary careteam member to develop and support specific clinical pathways or best practice programs fortargeted patient groups (e.g., patients with acute stress symptoms, chronic medical conditions,insomnia). Provides concise documentation of care and recommendations in patients medicalrecord beginning in the appointment and completed in no more than 72 hours after the patient is seen. 2. Consultation and Team Based Care Provides timely and succinct feedback to PCMs regarding consultation findings andrecommendations as directed by the current DHA PCBH Administrative Instruction and DHAProcedures Manual. Determines if patient is appropriate to receive PCBH model services in theprimary care setting. Provides ongoing consultation services for a subset of patients who wouldbenefit from periodic, regular behavioral health monitoring and intervention for sustainingimprovement and preventing relapse (i.e., continuity consultation). Participates in all PCMHactivities to include huddles, provider meetings, peer review, and trainings. Actively works withPCMH team to identify patients who are appropriate for BHC services and facilitates processes toincrease same-day warm handoff of patients from PCMs to BHC. Works to increase overallpenetration into the enrolled clinic population by targeting common conditions with behavioralcomponents that are amenable to BHC intervention. Performs daily activities to increase BHCclinical productivity (e.g. scrubbing PCM appointment lists, circulating in the clinic and interactingwith staff, being vocal in morning huddles etc.) 3. Educational Activities Develops, teaches, and provides oversight for classes that promote education and skill-building toenhance psychological and physical health, and promote behavioral change related to improvedhealth status. Conducts trainings for the primary care clinic to increase referrals and promoteunderstanding of the role of the BHC. Performs other duties as assigned

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