Behavioral Health Specialist

Site: Mass General Brigham Health Plan Holding Company, Inc.

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Coordinated Whole HealthCare Duals Team is hiring two Behavioral Health Specialists to join MGB Health Plan!

Full Time

Benefits

This position requires an active license as either an Independent Clinical Social Worker (LICSW) and a hybrid work model, including practice-based, remote work and enrollee in-person home and community visits when needed.

The population will primarily include enrollees residing in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. This position's responsibilities and caseload may be adjusted based on enrollee enrollment trends.

Licenses and Credentials

Licensed Independent Clinical Social Worker [LICSW - MA State License] required

Mental Health Counselor [LMHC - MA State License] - preferred

Job Summary

The Opportunity

Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordination of care for enrollees with Severe Mental Illness (SMI) and Substance Use Disorders (SUD).

As the behavioral health clinical expert on the Interdisciplinary Care Team, the Behavioral Health Specialist partners with the Interdisciplinary Care Team, facilities, and providers to address behavioral health challenges, evaluate treatment options, and implement targeted strategies and interventions.

Essential Functions

• Collaborate with interdisciplinary care teams (ICT)-including LTSC, GSSC, primary care providers, specialists, and behavioral health treatment facilities-to support program enhancements, process improvements, care coordination, discharge planning, and aftercare.
• Participate actively in ICT meetings, contributing insights on behavioral health concerns, treatment options, care strategies, and engaging in collaborative decision-making regarding enrollees' care.
• Receive and triage behavioral health and substance use referrals, coordinating with the ICT and primary care providers to refer enrollees to appropriate inpatient or outpatient services.
• Develop, update, and implement enrollee-centered care plans in collaboration with enrollees and care teams, promoting self-care, shared decision-making, and addressing identified needs through routine engagement and proactive outreach.
• Conduct outreach, assessments, and home visits via telephonic, electronic, or in-person contact for identified enrollees, including routine evaluations and post-transition care.
• Monitor clinical status to identify early signs of deterioration, intervening proactively with the ICT to prevent unnecessary hospitalizations and escalate behavioral health needs during weekly case conferences.
• Establish consistent communication and reporting schedules with providers and enrollees to review enrollee status, progress toward goals, care needs, utilization plans, and follow-up.
• Ensure compliance with DSNP regulations and quality assurance standards by documenting, monitoring, and evaluating enrollee interventions and care plans accurately within electronic medical record systems.
• Serve as a key resource and liaison within the ICT by addressing enrollee questions, concerns, and care needs, facilitating access to services, and performing additional duties as assigned by the supervisor.

Qualifications

• Master's Degree, Field of Study: Licensed Independent Clinical Social Worker (LICSW) required
• Certified Case Management Certification preferred
• Previous counseling experience 5-7 years required
• Minimum 3 years of direct clinical experience required
• Experience with community case management preferred
• Experience with Dually Eligible Enrollees (Medicare and Medicaid) preferred
• NCQA experience preferred

Skills for Success

• Competency in working with multiple health care computer platforms, nice to have EPIC experience
• Experience working with individuals with complex medical, behavioral, and social needs
• Strong communication and interpersonal skills to effectively engage with enrollees and interdisciplinary teams
• Critical thinking and problem-solving skills. Demonstrates autonomy in decision making
• Strong organizational skills with an ability to manage routine work, triage and reset priorities as needed
• Interpersonal skills and ability to work effectively with providers and their staff to develop rapport, build trust, and promote Population Health initiatives. Excellent oral, written, and telephonic skills and abilities
• Competency in working with multiple health care computer platforms
• Ability to work effectively in a complex fast paced medical environment and multiple practice locations
• Ability to work independently while contributing to a collaborative team environment
• Knowledge of healthcare and community services to assist enrollees effectively
• Must be comfortable with change, have the ability to adapt and pivot as part of continuous process improvement activities

Working Model Required

• M-F Eastern Business Hours required 830a-5pm ET
• Onsite Practice-based, remote work and enrollee in-person home and community visits
• Weekly multiple days in field needed, will vary
• Reliable transportation and valid driver's license required
• Must be local, ideally in Eastern, MA. Community capable with autonomy to build own schedule to accommodate member's needs. With flexibility required based on member needs
• Must be flexible for training, field work and business needs, this can very per week in person, as well as telephonic or virtual assessments are possible.
• Field work may be increased as the program launches
• Remote working days require stable, quiet, secure, compliant working station using MGB provided equipment and Teams Video access

Additional Job Details (if applicable)

Our goal will be to geographically align employees, this depends on residence, and can vary based on business needs, member enrollment and team staffing.

Employee must accommodate the hybrid work model, including practice-based, remote work and enrollee in-person home and community visits.

The population will primarily include enrollees residing in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollee enrollment trends.

Remote Type

Hybrid

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$97,510.40 - $141,804.00/Annual

Grade

8

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.