Behavioral Health Care Manager - MSW

Behavioral Health Care Manager Collaborative Care Model (CoCM)

EPIC Health is seeking a Behavioral Health Care Manager (BHCM) to support patients through our Collaborative Care Model (CoCM). This role provides behavioral health support, care coordination, patient education, and proactive follow-up while working closely with primary care providers, psychiatric consultants, and the interdisciplinary care team.

The ideal candidate is an experienced Master's-level Social Worker who is passionate about integrated care, patient engagement, and improving behavioral health outcomes.

Patient Care & Behavioral Health

• Identify, enroll, and engage patients appropriate for the CoCM program.
• Conduct behavioral health, psychosocial, and social needs assessments.
• Administer and monitor PHQ-9, GAD-7, and other behavioral health screening tools.
• Provide proactive patient outreach, follow-up, education, and brief evidence-informed interventions within professional scope.
• Monitor patient progress and identify patients who are not improving or require additional intervention.
• Conduct appropriate safety/crisis assessments and follow established escalation protocols.

Care Coordination

• Maintain and regularly update the CoCM patient registry.
• Prepare appropriate patients for psychiatric consultant case reviews.
• Communicate psychiatric recommendations to PCPs and track follow-up.
• Coordinate referrals to specialty behavioral health and community resources.
• Address social determinants of health, including transportation, housing, food insecurity, financial barriers, and access to care.
• Collaborate with PCPs, psychiatric consultants, Care Management, and other members of the care team.

Documentation & Quality

• Maintain accurate and timely documentation of assessments, outreach, interventions, referrals, and care plans.
• Support CoCM reporting, quality initiatives, and compliance requirements.
• Participate in team meetings, case reviews, training, and continuous improvement initiatives.
• Maintain patient confidentiality and comply with HIPAA and organizational policies.

What You Bring

Required Qualifications

• Master's Degree in Social Work (MSW) from a CSWE-accredited program.
• Current social work licensure/credentialing appropriate to the state of practice.
• Prior professional experience in behavioral health is required.
• Experience working with depression, anxiety, and other behavioral health conditions.
• Knowledge of behavioral health assessment, psychosocial interventions, crisis/safety assessment, and care coordination.
• Strong communication, documentation, organization, and patient engagement skills.
• Ability to manage a patient population through structured registry management and systematic follow-up.
• Ability to work effectively within an interdisciplinary healthcare team.

Preferred Qualifications

• Experience in CoCM, integrated behavioral health, primary care, or community mental health.
• Experience with measurement-based behavioral healthcare.
• Experience using PHQ-9, GAD-7, and other validated assessment tools.
• Experience providing brief behavioral health interventions.
• Experience working with primary care and psychiatric providers.
• Experience with EHR and care management platforms.

Key Performance Expectations

• Timely engagement and follow-up of assigned patients.
• Accurate and current CoCM registry management.
• Completion of assessments and reassessments within established timeframes.
• Consistent psychiatric case review and follow-through on recommendations.
• Appropriate identification and escalation of clinical or safety concerns.
• Complete, accurate, and timely documentation.
• Demonstrated progress toward patient-centered behavioral health goals.
• Achievement of established productivity, quality, and patient engagement expectations.

Why Join EPIC Health?

At EPIC Health, you'll help integrate behavioral health into primary care and make a meaningful difference in the lives of the patients and communities we serve.

What We Offer

• Competitive compensation
• Medical, Dental, and Vision benefits
• Disability and Life Insurance
• 401(k) Retirement Plan
• Paid Time Off and Holiday Pay
• Professional development and ongoing training
• Collaborative, mission-driven work environment

Apply today and join EPIC Health in transforming integrated behavioral healthcare.