ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Behavioral Health Consultant - Psychologist, SCHS

Assistant Professor of Family Medicine, OHSU/SCHS Three Sisters Residency

REPORTS TO POSITION: Section Chief, Psychiatry and Behavioral Health

Family Medicine Department Chair

DEPARTMENT: Integrated Behavioral Health

DATE LAST REVIEWED: August 1, 2023

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 (IBH) Department includes Licensed Master's Level and Doctoral Level clinician integrated into primary care settings as well as some specialty care settings. The

Three Sisters Rural Family Medicine Residency's mission is to create a collaborative and holistic training environment in family medicine that will allow physicians to serve their patients in rural and frontier communities and help transform the delivery care system.

POSITION OVERVIEW:

This position will support both SCHS Integrated Behavioral Health clinical duties and the education missions within the Three Sisters Rural Family Medicine Residency's. The FTE breakdown of this position may change with the growth of the Rural Training Track and in collaboration with the OHSU Family Medicine Residency program.

The Behavioral Health Consultant (BHC) works alongside the Primary Care Providers or Specialty Medicine Providers, providing behavioral health assessments and brief interventions. The BHC is an integral member of the medical team whose role is to help address a broad spectrum of Behavioral Health needs in the medical clinic population. The BHC aids in early identification of problems and provides, brief, solution focused interventions that promote wellness and prevention-based care for as many patients as possible. The BHC provides same-day consultative services to medical providers and patients for a broad array of behavioral health issues in the form of assessment, brief intervention, 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 and culturally specific interventions to improve overall health and quality of life of patients with a variety of physical, emotional, and behavioral needs. The BHC functions as an integrated member of the care team by assisting physicians, advanced practice clinicians, and other medical staff in managing the overall health of their patient populations. A Behavioral Health Consultant helps improve recognition, treatment, and management of psychosocial/behavioral problems and medical conditions in the primary care population. The Behavioral Health Consultant provides consultation services to all patients referred by the medical team.

In addition to the clinical role, this position provides educational support to the Family Medicine Three Sisters Residency through the development and delivery of behavioral science curriculum. This includes delivering didactic material, leading support and Balint groups, providing teaching in the clinical environment, participating in resident recruitment and interviews, participating in evaluation of residents, and working closely with the Three Sisters Residency Program Director and the OHSU Family Medicine Director of Behavioral Health Education to meet the behavioral science educational needs of the Three Sisters family medicine residents.

This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

SCHS Responsibilities 70%:

Clinical Responsibilities:

Plans and provides psychological assessment and diagnosis in a primary care setting with brief psychotherapeutic interventions as needed.

Provides targeted assessment and evaluation, including diagnostic impression and functional status on presenting problem(s).

Timely and succinct feedback to primary care physicians regarding consultation findings and recommendations.

Triaging and referring patients to specialty mental health care when appropriate.

Formulation of behavioral health interventions appropriate to the primary care setting and assisting with implementation of primary care physician(s) treatment plans.

Providing brief follow-up, including relapse prevention and education.

Developing, teaching, and providing oversight for classes that promote education and skill-building to enhance psychological and physical health.

Providing ongoing consultation services for a sub-set of patients who require ongoing monitoring and follow up (e.g., continuity consultations).

Sharing knowledge with other team members and patients both formally (in-services, consult responses) and informally (hallway conversations).

Working as a primary care team member to develop specific clinical pathways or best practice programs for targeted patient groups (chronic pain, diabetes, heart disease, hypertension, obesity etc.).

Plans, develops, and implements groups and other services for mental health needs.

Develops behavioral health programs to meet the needs of the changing organization and changes in health care delivery.

Active member of the multi-disciplinary team within the clinic, providing team-based care. Fully integrated primary health home services.

Active engagement in development, implementation, and maintenance of related clinic quality metrics, as needed.

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 SCHS organization structure, communications systems and billing process, completing billing and coding documentation within time assigned by SCHS 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.

Participate in SCHS provider meetings and assist in policy formation for SCHS 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. This includes leadership in the development of culturally appropriate health care policies and practices.

Develops and leads DEI initiatives at St Charles to improve knowledge, skills, and attitudes of staff toward vulnerable populations.

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.

Teaching, education, and curriculum development 30%:

In collaboration with the Director of BH Education and the Madras Program Director, develop and implement residency curricula concerning identification and treatment of mental health disorders, patient-centered communication skills, emotional content of clinical care, physician wellness, health equity, culturally specific care, and integration of psychosocial assessment into primary care visits.

Coordinate with local mental health and social safety net resources as sources of resident education.

Participate in clinical competency committee with other core faculty members and provide valuable feedback about the progress of residents in the rural training track.

Meet with residents periodically to provide mentoring and discuss educational goals and well-being practices.

Provide mentorship for resident academic or research projects as appropriate.

Direct teaching may include but are not limited to clinical precepting, didactic presentations and video review.

Develop partnerships with other health systems as residency teaching and education sites for behavioral health experiences.

EDUCATION

Required:

Graduation from an accredited college or university.

Successful completion of an accredited doctorate program in providers chosen specialty

Successful completion of additional educational programs necessary to enable consultant to acquire and maintain privileges to perform the range of services contemplated. This includes board eligibility and/or certification in the specialty being practiced.

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, must be licensed for a minimum two years.

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: Psychologist: minimum two years post-licensure experience.

Preferred: Experience with primary care populations Experience with program and curriculum development. Experience with Native and Indigenous populations and providing culturally appropriate services to communities underrepresented in the medical field. Experience with organizational development of diversity, equity and inclusion practices.

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 workdays, 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.

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