Description

POSITION DESCRIPTION

POSITION: Behavioral Health Consultant I

Behavioral Health Consultant II

RESPONSIBLE TO:  Clinical Services Manager  

SALARY: Behavioral Health Consultant I Step Range 31 ($70,934) - 50 ($124,384); Full Benefits

Behavioral Health Consultant II Step Range 41($95,330) - 50 ($124,384); Full Benefits 

CLASSIFICATION: Professional, Regular, Full time

LOCATION: Klamath Tribal Health & Family Services

Youth & Family Guidance Center

Klamath Falls, Oregon 

BACKGROUND:  P.L. 101-630 level

POSITION OBJECTIVES

The primary purpose of the Behavioral Health Consultant (BHC) is to provide immediate access to behavioral health services for individuals, families, and community members seeking care. Services may include behavioral health screening, assessment, brief intervention, crisis response, consultation, care coordination, referral services, and community outreach.

The Behavioral Health Consultant functions as an integrated member of the Primary Care Team and provides population-based behavioral health services utilizing a Primary Care Behavioral Health (PCBH) and Behavioral Health Integration (BHI) model. The BHC works collaboratively with Primary Care Providers, Registered Nurses (RNs), Certified Medical Assistants (CMAs), Community Health Representatives, Care Coordinators, and other healthcare professionals to address behavioral, emotional, lifestyle, substance use, and social factors that impact overall health and wellness.

The Behavioral Health Consultant provides same-day access services, warm handoffs, brief assessments, focused interventions, consultation, and care coordination designed to improve whole-person health outcomes and reduce barriers to care. Services emphasize prevention, early intervention, health behavior change, chronic disease self-management, recovery support, and patient engagement.

The Behavioral Health Consultant collaborates with medical providers, Tribal programs, schools, law enforcement, social service agencies, the Department of Human Services, Indian Health Service, and community partners to improve access to behavioral health and substance use disorder treatment services.

Services may be provided in primary care clinics, behavioral health settings, wellness centers, and alternate work sites.

The Behavioral Health Consultant provides direct patient care services utilizing Tribal-based practices and evidence-based interventions that are trauma-informed, healing-centered, culturally responsive, strengths-based, and person-centered in accordance with Tribal values, state ethics, and professional licensure requirements.

The Behavioral Health Consultant provides services through a trauma-informed and healing-centered framework that recognizes the impacts of historical trauma, intergenerational trauma, adverse childhood experiences (ACEs), and social determinants of health on individuals, families, and Tribal communities. The Behavioral Health Consultant promotes safety, trust, empowerment, resilience, self-determination, and recovery while honoring the strengths, traditions, and cultural values of The Klamath Tribes.

MAJOR DUTIES AND RESPONSIBILITIES

1. Creates, develops, and nurtures culturally appropriate interactions      and connections and provides professional expertise and consultation to      patients, families, healthcare teams, Tribal programs, and community      partners.
2. Functions as an integrated member of multidisciplinary healthcare      teams utilizing Primary Care Behavioral Health (PCBH), Behavioral Health      Integration (BHI), and population health principles.
3. Provides trauma-informed, healing-centered, culturally grounded,      and strengths-based behavioral health services that honor Indigenous ways      of knowing, traditional healing practices, family systems, and community      resilience.
4. Provides same-day behavioral health consultations through warm      handoffs from Primary Care Providers, Registered Nurses, Certified Medical      Assistants, and other healthcare team members.
5. Conducts focused behavioral health assessments to identify      emotional, behavioral, social, cultural, substance use, and lifestyle      factors impacting health outcomes.
6. Delivers brief evidence-based interventions appropriate for      integrated care settings, including motivational interviewing, behavioral      activation, problem-solving therapy, cognitive behavioral strategies,      stress management, pain management, sleep interventions, chronic disease      self-management support, and health behavior change counseling.
7. Provides brief behavioral health screenings, risk assessments,      crisis intervention, stabilization, safety planning, and referral services      for individuals experiencing mental health and/or substance use concerns.
8. Recognizes and responds to the impacts of historical trauma,      intergenerational trauma, adverse childhood experiences (ACEs), and      community trauma in assessment, treatment planning, and care coordination      activities.
9. Assists medical providers in addressing behavioral health concerns      commonly encountered in primary care, including depression, anxiety,      trauma-related symptoms, substance use disorders, chronic pain, insomnia,      medication adherence concerns, stress-related disorders, and health-risk      behaviors.
10. Makes appropriate referrals and seeks resources to aid patients;      leads or co-leads patient case conferences with service providers, family      members, natural supports, and involved parties as appropriate.
11. Participates in daily team huddles, multidisciplinary case reviews,      care coordination meetings, and treatment planning activities to support      integrated patient care.
12. Provides behavioral health consultation and recommendations to      Primary Care Providers, CMAs, RNs, care coordinators, and other healthcare      professionals regarding treatment planning, patient engagement, behavioral      management strategies, and care coordination needs.
13. Intervenes and assists in de-escalating situations involving      agitated, confused, distressed, or emotionally overwhelmed patients and      family members within KTHFS programs.
14. Educates, prepares, and refers patients for participation in      individual therapy, substance use treatment, psychoeducation services,      treatment groups, prevention activities, traditional healing      opportunities, and recovery support services.
15. Collaborates with service providers to monitor and manage      high-risk, chronic care, and high-utilization patients.
16. Utilizes evidence-based screening and outcome measures including      PHQ-9, GAD-7, AUDIT, DAST, ACEs, Columbia Suicide Severity Rating Scale      (C-SSRS), and other validated tools to support clinical decision-making      and measurement-based care.
17. Supports population health initiatives through identification,      engagement, and follow-up of patients with behavioral health needs,      chronic medical conditions, social determinants of health challenges, and      barriers to treatment engagement.
18. Provides advocacy, care coordination, and support to improve      patient experiences and relationships between patients, providers, and      support systems.
19. Promotes physical, emotional, cultural, spiritual, and      psychological safety in all patient interactions and service delivery      settings.
20. Documents assessments, consultations, interventions, treatment      recommendations, and follow-up activities in the Electronic Health Record      in accordance with integrated care, billing, quality improvement, and      regulatory standards.
21. Independently produces professional, accurate, and timely written      documentation with minimal supervisory correction.
22. Attends and participates in supervision, case consultation, team      huddles, department meetings, trainings, and professional development      activities.
23. Demonstrates the ability to rapidly transition between patients and      tasks while prioritizing patient care needs, same-day consultations, and      crisis response activities.
24. Assists with development and implementation of integrated care      workflows, referral pathways, screening protocols, quality improvement      initiatives, and Behavioral Health Integration services.
25. Promotes behavioral health, prevention, wellness, recovery,      resilience, and integrated care services through outreach and community      education activities.
26. Participates in the development, implementation, evaluation, and      continuous improvement of behavioral health programs and services.
27. Assists during Tribal-sponsored cultural, traditional, educational,      and community events that support the mission, values, and programs of The      Klamath Tribes.
28. Like all employees of The Klamath Tribes, the Behavioral Health      Consultant may be assigned additional duties that support the successful      operation of Tribal programs and services.

ADDITIONAL RESPONSIBILITIES – BEHAVIORAL HEALTH CONSULTANT II

1. Serves as a clinical resource and mentor to Behavioral Health      Consultant I staff and other behavioral health team members.
2. Assists with clinical consultation, multidisciplinary case review,      and treatment planning for complex, high-risk, or multi-system cases.
3. Provides leadership in implementing trauma-informed care and      Behavioral Health Integration principles throughout healthcare services      and community partnerships.
4. Assists with staff orientation, training, quality improvement      initiatives, program evaluation, and service development.
5. Supports implementation of integrated care workflows,      measurement-based care initiatives, population health strategies, and      evidence-based behavioral health practices.
6. Supports integration of culturally responsive, trauma-informed, and      healing-centered practices across Tribal health services.

SUPERVISORY CONTROLS

Work is performed under the general direction of the Clinical Services Manager, following established Tribal policy. Unusual, new, or complex assignments that require deviation from past experience or precedents are discussed with supervisor.

This position requires consistent, sound judgment and the ability to work independently with minimal supervision. The incumbent exercises judgment based on training, protocol and licensing limitations. Employee exercises initiative in researching answers and solving problems based upon previous training, experience and instructions.

KNOWLEDGE, SKILLS, ABILITIES

Knowledge of Integrated Behavioral Health (IBH), Primary Care Behavioral Health (PCBH), Collaborative Care, and Behavioral Health Integration models.

• Knowledge of population health principles, whole-person care, and healthcare team-based service delivery.

• Knowledge of behavioral medicine interventions for chronic disease management and health behavior change.

• Knowledge of evidence-based screening instruments and measurement-based care practices.

• Experience working as part of a multidisciplinary healthcare team including providers, nurses, medical assistants, and care coordinators.

• Ability to provide brief, focused behavioral health interventions in fast-paced healthcare environments.

• Ability to effectively collaborate with Primary Care Providers, CMAs, RNs, behavioral health clinicians, and community partners.

• Ability to balance direct patient care, consultation, care coordination, crisis response, and population-based service delivery activities.

  QUALIFICATIONS, EXPERIENCE, EDUCATION

Minimum Qualifications:  Failure to comply with minimum position requirements may result in termination of employment.
 

· REQUIRED to possess a Master’s Degree in Counseling, Clinical Social Work, Marriage and Family Therapy or a PsyD/PhD in Psychology or Counseling with completion of educational requirements from a professionally approved and accredited educational program with appropriate licensure and/or certification. (Must submit copy of degree or transcripts with application).

· REQUIRED to have Oregon licensure to practice (LPC, LCSW, or LMFT). Out of state licensed professionals must be able to acquire an Oregon License within twelve  months of hire. Klamath Tribal Health will reimburse up to $500 of the cost for testing and license. (Must submit copy of applicable license with application, if currently licensed). 

· REQUIRED to have experience in dual diagnoses (Behavioral health and substance use disorder). 

· REQUIRED to have a minimum of two (2) years of clinical experience. Post-graduate supervised training may count toward this requirement.

· REQUIRED to have experience in the assessment of suicide risk, self-injurious behavior, and all high-risk behaviors, case management of high-risk clients.

· REQUIRED to have experience with clients who have been victims of physical and/or psychological trauma, with attention to early intervention.

· REQUIRED to possess and maintain a valid Oregon Driver’s License, (out of state applicants must receive ODL within 90 days of hire), have good driving record and be insurable by the Klamath Tribal Health & Family Services’ vehicle insurance policy. (Must submit copy of driver license with application.) 

· REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime. 

· REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers. 

· REQUIRED to acquire and maintain BLS certification within 180 days of hire; strongly recommend certification within 90 days of hire, probationary period will be extended for a maximum of 180 days pending certification.

· REQUIRED to accept the responsibility of a Mandatory Reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Council Resolution #2005 003, all Tribal staff are considered mandatory reporters.

· REQUIRED to be free from exclusion from providing Federal health care benefits including Medicare and Medicaid as per the Federal OIG and GSA exclusion lists. 

· REQUIRED to model a clean and sober lifestyle both on and off the job. 

Preferred Qualifications:

• Previous experience working as a Behavioral Health Consultant (BHC) within a Primary Care Behavioral Health (PCBH), Integrated Behavioral Health (IBH), Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), Tribal Health Program, Indian Health Service (IHS), or similar integrated healthcare setting.

• Certification as a Behavioral Health Consultant (BHC) or completion of formal training in Primary Care Behavioral Health, Collaborative Care, or Behavioral Health Integration models or work towards certification within one year. 

• Experience providing same-day access services, warm handoffs, brief interventions, and consultation services within primary care settings.

• Experience collaborating with Primary Care Providers, Registered Nurses, Certified Medical Assistants, and interdisciplinary healthcare teams.

• Experience utilizing PHQ-9, GAD-7, AUDIT, DAST, ACEs, C-SSRS, and other evidence-based screening instruments.

• Experience supporting chronic disease management, health behavior change, and behavioral medicine interventions.

• Experience with integrated care documentation, quality improvement initiatives, and population health management.

• CADC I, II, or III certification or work towards certification within one year.

• Specialized training or certification in Trauma-Informed Care, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), EMDR, Seeking Safety, Child-Parent Psychotherapy (CPP), Primary Care Behavioral Health, Collaborative Care, or other evidence-based treatment models.

• Experience working with Native American or Alaska Native populations and Tribal health systems.

Indian Preference:

· Indian and Tribal Preference will apply, as per policy. (Must submit tribal documentation with application to qualify for Indian Preference).

ACKNOWLEDGEMENT

This position description is intended to provide an overview of the requirements of the position. It is not necessarily inclusive and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any requirement of the job by the employee, is intended to create a contract of employment of any type.

APPLICATION PROCEDURE

Submit an Indian Health Services Application for Medical Staff Appointment and/or Privileges with all requirements and supporting documentation to:

Klamath Tribal Health & Family Services  ATTN: Human Resource

 3949 South 6th Street

 Klamath Falls, OR 97603

[email protected] 

IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE SUFFICIENT INFORMATION TO PROVE QUALIFICATIONS FOR TRIBAL POSITIONS.

Please Note: If requirements are not met, i.e., submission of a resume in lieu of a tribal application or not including a required certification, your application will not be reviewed and will be disqualified.

Indian Preference will apply. In accordance with Klamath Tribal policy, priority in selection will be given to qualified applicants who present proof of eligibility for “Indian Preference”.