Essential Job Functions:
Integrated Medical Support
- Obtain and accurately document vital signs, height, weight, BMI, and other physical health indicators.
- Assist in identifying unmet physical healthcare needs.
- Perform CLIA-waived testing and specimen collection as authorized.
- Perform venipuncture and laboratory collection consistent with certification and organizational policy.
- Monitor completion of ordered laboratory studies.
- Report abnormal findings promptly to licensed nursing staff or medical providers.
- Prepare patients for psychiatric and medical appointments.
- Maintain clinical equipment.
Care Coordination
Coordinate physical healthcare services between behavioral health, primary care, specialty care, hospitals, emergency departments, pharmacies, and community providers.
- Assist patients in scheduling medical appointments.
- Obtain hospital discharge information.
- Coordinate post-hospital follow-up appointments.
- Assist patients with specialty referrals.
- Monitor completion of recommended preventive healthcare services.
- Assist patients in reducing barriers to healthcare access.
- Participate in care transitions following hospitalization, crisis stabilization, detoxification, residential treatment, or incarceration.
- Document all care coordination activities in the electronic health record.
Medication Support
Under supervision of licensed clinical staff:
- Complete medication reconciliation at admission, annual update, and transition of care.
- Maintain current medication lists.
- Monitor patients for medication adherence.
- Observe and report potential medication side effects.
- Reinforce medication education provided by licensed practitioners.
- Coordinate medication refill requests according to organizational procedures.
Population Health Management
Assist by monitoring patients identified as high utilizers or medically vulnerable.
Responsibilities include:
- Tracking preventive health screenings.
- Monitoring metabolic screening for individuals prescribed antipsychotic medications.
- Monitoring diabetes care indicators.
- Monitoring hypertension.
- Monitoring obesity and BMI.
- Monitoring tobacco cessation interventions.
- Monitoring immunization status.
- Assisting with outreach for patients overdue for appointments.
- Supporting CCBHC quality measures and clinical outcomes.
Health Education
Provide education consistent with provider treatment recommendations regarding:
- Medication adherence
- Diabetes management
- Hypertension management
- Nutrition
- Physical activity
- Tobacco cessation
- Sleep hygiene
- Preventive healthcare
- Wellness recovery planning
- Self-management of chronic disease
Documentation
Complete documentation according to:
- Alabama Medicaid Administrative Code Chapter 105
- CCBHC Certification Criteria
- Joint Commission standards
- Organizational policies
Documentation shall:
- Be completed within 24 hours of provision of service
- Accurately reflect services delivered.
- Support medical necessity.
- Support billing requirements.
- Demonstrate care coordination activities.
- Reflect person-centered care.
- Maintain confidentiality.
Interdisciplinary Team Participation
- Participate in interdisciplinary treatment team meetings.
- Collaborate with psychiatrists, nurses, therapists, case managers, peers, primary care providers, and community partners.
- Assist with integrated treatment planning.
- Communicate significant changes in physical or behavioral health.
- Participate in case reviews for high-risk patients.
Quality Improvement
- Participate in Performance Improvement activities.
- Participate in CCBHC quality initiatives.
- Assist with collection of quality indicator data.
- Support population health reporting.
- Participate in audit readiness activities.
- Assist with compliance monitoring activities.
Professional Responsibilities
- Maintain CMA certification.
- Maintain CPR certification.
- Complete required continuing education.
- Attend required staff meetings and trainings.
- Maintain competency in trauma-informed care and cultural responsiveness.
- Follow organizational policies and procedures.
- Demonstrate ethical and professional conduct.
- Perform other duties as assigned.
Ability to:
- Work effectively within an interdisciplinary team.
- Communicate effectively with patients and providers.
- Prioritize multiple tasks.
- Maintain accurate documentation.
- Demonstrate compassion and professionalism.
- Utilize recovery-oriented practices.
Physical Requirements
- Frequent standing, walking, sitting, bending, reaching, and keyboard use.
- Frequent travel within the community.
- Ability to lift up to 30 pounds.
- Ability to perform venipuncture and other clinical procedures.
- Ability to respond appropriately during behavioral health crises.
- Ability to operate standard clinical equipment.
- Ability to work in outpatient clinics, community settings, hospitals, shelters, and patients' homes when assigned.
Performance Standards
Performance will be evaluated based upon:
- Compliance with Alabama Medicaid Chapter 105.
- Compliance with CCBHC Certification Criteria.
- Timeliness of documentation.
- Quality of care coordination.
- Patient satisfaction.
- Accuracy of medical documentation.
- Participation in interdisciplinary care.
- Compliance with quality improvement initiatives.
- Adherence to organizational policies and ethical standards.