Behavioral Health Care Coord at Berkshire Health Systems – Pittsfield, Massachusetts

The Behavioral Health Care Manger provides specialty case management to high risk patients enrolled in the Health Collaborative of the Berkshires. S/he works directly with patients, patients’ families, physicians, and other care managers to assess the needs and strengths of high-risk patients and develops customized, proactive care plans that support patients’ optimal functional status and well-being. Data-driven monitoring of the effectiveness of the BH care plan as well as regular collaboration with the PCP team and other relevant stakeholders will be required. The BH Care Manager works collaboratively with other members of the health care team to ensure timeliness and coordination of services in compliance with documented care plan goals and objectives. Scope of practice includes but is not limited to: assessment, brief intervention and care management for patients with identified BH/SUD conditions and/or otherwise psychosocially complex issues. Encounters with patients may occur via phone or face-to-face at provider office or at patient’s home, according to the needs of the patient. The BH Care Manager identifies high risk populations and provides BH care coordination and support. S/he works closely at the interface of many departmental and hospital-based services as well as primary care and other specialty practices.