Severe Mental Illness Behavioral Health Clinician 2- Care Management

Scope of Position

OSU Harding Hospital and East Hospital Talbot Hall deliver the most comprehensive adult behavioral healthcare services in central Ohio, offering the regions broadest range of treatment options and a highly experienced multidisciplinary team. Services span psychiatric emergency care, behavioral health urgent care, inpatient and outpatient treatment, intensive outpatient (IOP) and partial hospitalization programs, as well as specialized, evidence-based care for mood and anxiety disorders, obsessive-compulsive disorder, psychosis, trauma- and stress-related disorders, sexual dysfunction, and neurocognitive conditions. Talbot Hall provides the areas most extensive addiction services, including detoxification, medication-assisted treatment, traumatic brain injury specific programming, and a full continuum of outpatient and continuing-care groups. Care is delivered through an integrated, patient-centered model that emphasizes safety, continuity, and individualized treatment planning.

Position Summary

The SMI Behavioral Health Care Management Clinician-2 provides intensive office- and community-based care management for adults with serious mental illness (SMI) who are admitted to or discharged from Harding Hospitals inpatient psychiatric units. These patients often present with severe and complex conditions, including treatment-resistant psychosis, major mood disorders, suicidality, co-occurring substance use, and other high-risk symptoms. Many are discharged on clozapine, for which OSU Harding is the highest-volume prescriber in Ohio. This role ensures comprehensive medication oversight, including REMS-required laboratory monitoring, coordination of transitions of care to OSU EPICENTER or community mental health providers, and development of care plans to reduce emergency department utilization and prevent readmissions. In partnership with the OSU EPICENTER BH team, the SMI Behavioral Health Care Management Clinician 2 supports an enhanced care model focused on continuity, rapid linkage to outpatient services, and sustained engagement post-discharge. The clinician collaborates with Assertive Community Treatment (ACT) teams, community mental health centers, and clozapine clinic referral partners while maintaining ongoing contact with patients and their support systems. High levels of community engagement before, during, and after hospitalization are essential to promoting treatment adherence, addressing social determinants of health, and ensuring patient safety. Under the clinical supervision of an independently licensed social worker (LISW), professional counselor (LPCC), the BH Clinician 2 Care Management provides community and in-office care-management, linkage, advocacy and, as needed, crisis intervention, psychosocial assessment, and brief therapeutic interventions, for OSU behavioral health patients prescribed Clozapine. The position facilitates safe stabilization and transition of patients to and from inpatient to appropriate levels of care, including urgent care, withdrawal management, residential, outpatient treatment, intensive outpatient, partial hospitalization, inpatient admission, or community services. Responsibilities include coordinating care, linking patients to community resources, supporting continuity of care, encouraging care compliance, conducting assessments, developing treatment, initiating shortterm psychosocial intervention, discharge plans, and assisting patient to overcome barriers to social determinants of health (transportation, finances, insurance, housing, food insecurity etc.). These activities may occur in the office and/or out in the patients community. The OSU Harding SMI, BH Clinician 2-CMC collaborates with psychiatrists, nurse practitioners, nurses, social workers, and other mental health and substance use disorder professionals to achieve patient care outcomes, enhance patient engagement in treatment, reduce unnecessary hospitalizations or readmissions, avoid relapse, maintain risk reduction, promote efficient use of healthcare resources, and facilitate linkage to social determinants of health. The role also requires maintaining knowledge of behavioral health and substance use disorder best practices, regulatory requirements, and community resources.

Minimum Qualifications

For Hire: Master's Degree in Social Work or Counseling or education accepted by the State of Ohio for licensure. Licensed Professional Counselor (LPC), Licensed Social Worker (LSW), or Licensed Chemical Dependency Counselor II or III (LCDC) required. LPC or LSW Preferred. 0 years of relevant experience required. 0-2 years of relevant experience preferred.