The Behavioral Health Care Manager (BHM) is an integral and often new member of the HIV care team. The BHM performs a significant role for each patient and frequently coaches the patient through the process. The BHM maintains regular contact with patients, facilitating appointment scheduling, suggesting actions as needed, identifying problems as they arise, and working to resolve challenges. The BHM joins the interdisciplinary team consisting of HIV primary care staff, psychiatrists, and medical case managers, who ensure the needs of patients are met.
BHM Responsibilities Include:
- Support the mental and physical health of each assigned patient by coordinating care with the patient’s HIV Physician and Consulting Psychiatrist (CP).
- Meet with patients at each follow-up visit and contact patients on a bi-weekly basis.
- Provide behavioral interventions such as behavioral activation, problem-solving treatment, or motivational interviewing.
- Screen patients for mental health disorders.
- Educate patients on mental health illness and available treatments.
- Perform complete mental health assessments or assist with scheduling one.
- Participate in regularly scheduled caseload consultation review with consulting psychiatrist (CP).
- Ensure patient follow-up care, track treatment response, and monitor patients for changes or complications.
- Ensure patients and providers are aware of recommendations made by CP.
- Encourage psychotropic medication management as prescribed by medical providers.
- Expedite treatment plan changes for patients who are not improving as expected in consultation with HIV physician and the CP.
- Promote in-clinic or outside referrals to evidence-based psychosocial treatments as clinically indicated.
- Use the electronic registry to track, identify, and re-engage patients.
- Document patient progress and treatment recommendations and other strategies to share with HIV physician, psychiatric consultant, and other treating providers.
- Connect with patient’s Social Worker to ensure basic human necessities like food and shelter are being met.
- Develop relapse prevention self-management plans with patients.
To provide effective behavioral interventions, MetroHealth recommends BHMs have specialized training and meet clinical licensure requirements.
Licensures and educational preparation recommendations include:
- Licensed Mental Health Counselor
- Licensed Social Worker
- Registered Nurse (BSN recommended)
- Nurse Practitioner
- Licensed Psychologist