Behavioral Health RN Care Manager

Job Title: Behavioral Health RN Care Manager

Department: Quality

Reports To: Clinical Quality Director

SUMMARY:

The Behavioral Health RN care manager provides direct and indirect patient care services in an integrated behavioral health setting. This role focuses on supporting individuals with mental health and/or substance use disorders through assessment, care coordination, patient education and collaboration with multidisciplinary teams to promote patient stabilization and recovery.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Conduct comprehensive nursing assessments of patients presenting with behavioral health needs, including mental health and substance use concerns.

• Formulates and implements a care plan that addresses the patients identified needs by assessing the patient/family needs, issues, resources and care goals; determining the choices available to individual patients; educating the patient/family on the choices available.

• Establishes a care plan that is mutually agreed upon by the health care team and the patient/family. Plans will contain specific mutual self-management goals, objectives, and interventions with the patients that are action oriented. Identifies barriers and empowers patients/families to achieve maximum levels of wellness and self-management. Involves patient/family in the formation and ongoing evaluation of the plan of care.

• Monitor and evaluate patients' physical and mental status; identify changes in condition and escalate as appropriate.

• Support medication management, including administration, monitoring side effects, and reinforcing adherence, completing medication reconciliation.

• Support crisis intervention, de-escalation, and safety planning, including assisting in psychiatric emergencies.

• Collaborate with behavioral health providers, primary care teams, case managers, and external agencies to coordinate holistic patient care.

• Document all nursing assessments, interventions, patient responses, and communications in the electronic health record (EHR) in a timely and accurate manner.

• Serve as a patient advocate, supporting recovery-oriented and trauma-informed care practices.

• Identifies social determinants of health needs and effectively utilizes community resources to meet these needs.

• Facilitate referrals, follow-up appointments, and transitions of care including ED and Inpatient stays.

• Collaborates with providers, other healthcare team members (including inpatient facilities, the patient's payer and health system administrators) to facilitate transitions of care across the healthcare continuum and optimize clinical and financial outcomes.

• Performs all duties and responsibilities in accordance with basic principles and guidelines of professional nursing. Participates in regular team meetings and appropriate quality and organizational committees. Participates in the orientation of new personnel. Abides by the organization's compliance program and requirements. Works collaboratively with leadership team to improve and enhance care delivery through the evaluation, development and enhancement of policy and procedures.

• Drive improvement of clinical quality measures- in partnership with the rest of the quality department

• Performs and/or participates in other appropriate projects or duties as assigned this may include vaccine clinics, home visits or other off site nursing needs.

Requirements

EDUCATION AND /OR EXPERIENCE:

Graduate of an accredited School of Nursing.

Current, unrestricted Registered Nurse license in the state of Ohio.

A minimum of 2 years' experience in behavioral health, psychiatric nursing or substance use treatment required with a focus on youth and young adults preferred. PMH-BC certification preferred.

Experience in outpatient, community health or integrated care settings preferred