Central Maine is seeking an Integrated Behavioral Health Clinician (LCSW, LCPC) to provide behavioral health assessment and short-term behavioral health therapy to primary care patients within the settings of the Swift River and Elsemore Dixfield Family Medicine practices in Rumford, ME.

This is a full-time, 40 hours per week position with a robust benefits package and competitive experience-based salary.

The Clinician is a fully integrated team member in the practice, documenting in the patient’s electronic health record, providing behavioral health services to referred patients and providing behavioral health education and consultation as requested.

A key component of the Clinician’s role is to provide services within best practice standards as outlined in the CMH Integrated Behavioral Health Model and Standards document which outlines the desired mindset, operational standards and clinical standards. 

The Clinician who fits well with this position has broad knowledge of a wide range of behavioral health conditions, openness to taking on a wide range of patients, diagnostic and case formulation skills, willingness to learn about medical conditions that interface significantly with mental health conditions, ability to work in a fast-pace environment and to create treatment plans that help patients achieve reachable goals within a reasonable, limited timeframe.

Integration Mindset

• Identifies self as a member of the primary care practice team
• Invests in professional relationships with practice’s providers and other team members for the betterment of operations and patient care
• Has flexible approach including ability to handle interruptions for urgent client situations or to provide urgent input on patients not on the day’s schedule
• Operates with “open door” approach when not in with patient, including virtual open door when working remotely (camera on or otherwise easy to connect with when not with patient)
• Takes on learning as an ongoing part of growth as clinician, especially on topics that address needs of the practice and its patient panel
• Communicates effectively and in an integrated manner within the electronic health record’s messaging system

Clinical Elements

• Accepts all referrals from provider unless truly out of scope of license or beyond the clinician’s expertise with inability to acquire needed knowledge or skills in time
• Provides patient assessment featuring a clear diagnostic, case formulation and initial plan, monitoring for acute risk factors at each session and intervening when necessary
• Builds rapport quickly with patient
• Ensures that patients understand their rights regarding informed consent and risks and benefits of treatment
• With patient consent, involves collateral parties such as family and external treatment providers as clinically indicated
• Collaborates with patient on the behavioral health plan of care
• Ensures that the behavioral health plan of care aligns well with the overall practice’s plan of care, discussing any contradictory or problematic discrepancies with patient and provider
• Defaults treatment approaches to goal-oriented, problem-solving, cognitive-behavioral approaches unless there are documented exceptions to the rule, engaging evidence-based measures when appropriate
• Focuses treatment on patient skill-building, often giving homework and engaging in skills practice during sessions
• Primarily provides short and intermediate-term treatment, leveraging breaks from therapy for the patient to practice new skills and learnings.  Schedules check-up visits as indicated
• Initiates external referrals when more intensive, specialty or longer-range treatment is indicated
• Stays apprised of appropriate clinical and social service resources in the community.  Builds positive relationships with contacts within these organizations
• Regularly communicates with patient’s provider on relevant clinical developments
• Keeps up to date with research and best practices in the field of behavioral health
• Remains mindful of ethical issues that arise and seeks peer and supervisory support when needed

Operational Elements

• Adheres to agreed-upon schedule template and productivity standards, collaborating with office staff on management of patient scheduling
• Follows office protocols regarding time off requests and exceptions to full day of work
• Works with practice leadership to troubleshoot workflow challenges
• Complies with office standards
• Documents key clinical points clearly and concisely and within expected timeframes of practice
• Communicates problems, concerns and ideas with both home organization and its clinical supervisor as well as practice leadership and behavioral health director as needed
• Collaborates with team members to identify, suggest and implement practice improvement initiatives
• Ensures that patient confidentiality and rights are protected in accordance with regulations and hospital policies
• Consistently attends and participates in clinical and administrative supervision