Beth Israel Lahey Health

Clinician

• Provide behavioral health crisis consultation services and related service delivery for youth, adult and geriatric populations in a hospital-based setting
• Provide assessment, treatment interventions and crisis counseling
• Manage the acute phase of clients presenting in behavioral health crisis; assess, triage and refer clients to appropriate services
• Develop and maintain collaborative relationships with hospital-based staff and other providers
• Utilize supervision effectively, share pertinent information, accept feedback and seek guidance for difficult cases
• Maintain current knowledge and use of resources, policies, procedures, regulatory and compliance requirements
• Answer telephone as needed and provide timely assessment and next-step support
• Abide by emergency department performance specifications
• Meet productivity standards
• Maintain a professional demeanor
• Perform other related duties as assigned
• Conduct evaluations in the hospital either in-person or via telehealth; position conducted remotely via telehealth

Crisis Clinician, Telehealth – Emergency Services

Clinical Supervisor

• Provide day-to-day clinical oversight of the CCS program to ensure quality patient care consistent with regulatory standards and evidence-based addiction-treatment practices
• Work with the CBHC Nurse Manager and, under the direction of the Program Director, assume responsibility for daily program operations in the Program Director's absence
• Supervise and consult with mental health counselors and peer specialists
• Monitor milieu acuity and assign client tasks as appropriate
• Ensure development of treatment plans and crisis response plans
• Review clinical documentation for compliance with federal, state, program, payer, and accreditation requirements
• Oversee the Quality Assurance program
• Provide scheduled staff supervision and develop strategies to maximize client continuation and compliance
• Develop in-service staff training
• Review clinical program design and implement improvement recommendations with CBHC leadership and Medical Director
• Develop and monitor evidence-based group curriculum
• Participate in hiring, training, performance evaluation, and staff scheduling
• Attend internal team and external stakeholder meetings
• Share on-call responsibilities
• Perform direct service as needed
• Carry out supervisory responsibilities including interviewing, hiring, training, work direction, performance appraisal, discipline, complaint handling, and problem resolution

Clinical Supervisor, Behavioral Health Crisis Services

Executive Assistant

• Provide medical assistant and medical secretary support
• Care for and protect patients, colleagues, and communities

Medical Assistant – Medical Secretary

Patient Access Representative

• Support the main check-in/check-out area
• Register patients presenting for visits and explain the registration process
• Process patient co-payments, co-insurance, deductibles, and balances due
• Safeguard cash, checks, and receipts and reconcile the cash drawer
• Assist patients with kiosk check-in
• Complete Medicare Secondary Payer Questionnaires and adjust coverage based on results
• Obtain signatures on consent, financial, and other required forms; distribute, scan, process, and record documents
• Counsel patients regarding non-covered services and obtain ABNs, consents, and waivers
• Monitor the patient waiting area and maintain efficient registration flow
• Respond to patient concerns and potential safety issues while following established procedures
• Maintain an orderly registration desk and waiting area and secure confidential information
• Schedule, reschedule, and cancel appointments using calls, digital messages, orders, work queues, questionnaires, and other information sources
• Apply clinical department scheduling protocols and escalate issues when necessary
• Capture and verify patient scheduling and registration information, including physician, insurance, demographic, and contact details
• Communicate appointment and patient-care issues to Patient Access management
• Follow confidentiality and equipment-security guidelines when working remotely and maintain productivity, quality, and accuracy
• Register and verify patients for identification, contact, and reimbursement purposes
• Create and assign guarantors and apply appropriate guarantor and insurance information
• Verify insurance coverage using real-time eligibility and take appropriate action
• Communicate financial-clearance status, contract status, self-pay status, and payment responsibility to patients
• Schedule patients with Financial Counseling as needed

Assistant

• Report to the Practice Manager or Ambulatory Practice Coordinator, with input from assigned physicians, nurses or other health care providers
• Deliver high-quality service to patients while contributing to smooth practice operations
• Greet patients and visitors courteously while maintaining service, respect and privacy
• Serve as a central communication source in patient care delivery
• Provide accurate information, directions and guidance, and follow up promptly
• Perform check-in, registration, scheduling, demographic and fiscal data verification using a computer system
• Collect co-payments according to processing standards
• Schedule, reschedule and cancel appointments
• Obtain and enter referrals
• Perform practice-specific duties such as check-out, follow-up appointment scheduling, providing educational materials, visit ticket entry and medical records preparation
• Maintain a clean and welcoming reception area
• Maintain reception signage and displayed information
• Monitor audio or visual programming and volume levels
• Contact departments for needed repairs or services and follow up
• Monitor and support patients and visitors entering and leaving the practice
• Facilitate timely patient flow and proactively resolve flow issues
• Liaise between patients, practice staff and other areas to optimize flow and service delivery

Practice Assistant

Manager

• Assist primary health care providers with recognizing and treating mental health disorders and substance abuse
• Identify, triage, and manage patients within the primary care setting
• Collaborate with primary care providers using behavioral health screenings to identify level of care, resources, and treatment planning
• Provide short-term therapy using evidence-based treatment modalities
• Review medical records before initial evaluations and perform thorough assessments
• Assess behavioral health disorders and the continuum of substance use disorders
• Use brief treatment approaches including CBT, Motivational Interviewing, Problem-Solving Therapy, Supportive Therapy, Behavioral Activation, and Psycho-Education
• Design and implement behavioral health treatment plans with the primary care treatment team
• Address patient, family, and others’ education needs related to psychological health and substance use
• Design and execute behavioral health and substance use education curricula for staff and providers
• Complete clinical documentation, billing sheets, insurance forms, and related records within required timeframes
• Follow organization, federal, and state regulations, guidelines, and contractual obligations
• Learn and apply insurance standards for commercial insurance and Mass Health products
• Develop a supervision plan and meet regularly with the supervisor to discuss clinical, organizational, and agency issues and review performance
• Build relationships with physicians, patients, visitors, external providers, regulatory bodies, and the broader health care community
• Maintain confidentiality and protect sensitive data
• Perform other related duties as assigned

Behavioral Health Care Manager, Collaborative Care

General

• Provide a safe and welcoming environment for individuals seeking services through the CBHC
• Provide a welcoming environment for clients while in the CBHC
• Work collaboratively with clinical staff
• Assist in arranging referred services
• Ensure clients understand what is happening during the evaluation process
• Assist with communication
• Share skills useful in managing stress in the community
• Engage appropriately with clients to help identify strengths, existing supports, and community resources

Certified Peer Specialist

Physician Assistant

• Provide high-quality direct patient care in a team-based model
• Support smooth and efficient administrative and clinical practice operations
• Develop empathetic long-term relationships with patients, families, and colleagues
• Facilitate timely patient flow and communicate delays
• Engage patients regarding visit reasons and update medication and allergy lists
• Review screening questions such as PHQ-9
• Liaise between patients and practice staff
• Hand off patient information to providers entering exam rooms, including visit reason, abnormal vitals, and patient stories
• Obtain vital signs, height, and weight measurements
• Perform EKGs, point-of-care testing, and phlebotomy
• Administer immunizations when certified
• Assist with routine procedures
• Conduct outreach and basic health coaching for health maintenance and chronic disease management
• Monitor practice activity and gather related data
• Monitor, order, and maintain medical equipment and supplies
• Ensure equipment and supplies are clean, sterilized, stocked, and within expiration dates
• Use the EHR to queue prescription renewals and add medications for provider review
• Enter or scribe orders for tests, services, and appointments as directed by clinicians
• Document visit tasks accurately for billing
• Schedule diagnostic and laboratory tests
• Verify insurance, prior authorizations, referrals, and pre-certifications
• Identify OSHA compliance issues and ensure patient safety practices
• Report adverse patient events and near misses
• Protect patient health information for treatment, payment, and operations purposes
• Report to the Practice Manager

Medical Assistant

• Serve as a frontline representative of BILH Specialty Care
• Provide customer service to patients and staff
• Handle phone interactions
• Register patients
• Schedule appointments
• Collect co-pays and handle billing
• Make appointment confirmation calls
• Help ensure patients receive the right care at the right time
• Set the tone for a positive patient experience

Medical Secretary

Enrollment Specialist

• Complete enrollment and health plan recredentialing applications under the direction of the Manager, Provider Enrollment
• Maintain the physician database and serve as a resource to providers, practice staff, BIDCO staff, and health plan representatives
• Facilitate timely enrollment of new providers and existing providers in newly contracted health plans
• Compile confidential data and accurate health plan application packets
• Review returned applications for accuracy and completeness before submission
• Perform provider recredentialing every two years and track applications through completion
• Input and maintain enrollment information and ongoing changes in the provider database
• Communicate with health plans, clinicians, and practice staff regarding provider participation and status
• Develop reporting mechanisms to keep providers and administrators informed of health plan status
• Investigate and resolve enrollment problems affecting billing and reimbursement
• Assist with applications for new group entities joining BIDCO and coordinate required documentation
• Coordinate with local community hospitals regarding hospital privileges and relevant documents
• Facilitate the delegated credentialing process with affiliated Professional Staff Affairs offices

Senior Enrollment Specialist

Supervisor

• Provide daily ongoing supervision and feedback to the BILPN enrollment team
• Supervise, maintain, update, and oversee enrollment policies and procedures
• Maintain and track delegated credentialing agreements
• Coordinate with PSA on delegation audits for health plans
• Manage contractual notifications to payors and maintain confidentiality
• Track performance metrics and implement quality initiatives
• Ensure payor enrollment is completed within required time frames
• Ensure compliance with enrollment criteria in payor contracts
• Oversee quarterly reconciliation of provider lists and binding authority documentation
• Assist with distribution, collection, and tracking of participating provider agreements and amendments
• Manage relationships with payors to resolve operational issues affecting providers, payors, practice operations, or revenue capture
• Identify and resolve payor or enrollment-related issues impacting the BILPN network
• Coordinate cross-functional projects relating to provider and hospital data
• Represent BILPN on internal and external committees
• Develop educational programs for participating providers regarding legislative directives such as HIPAA, Medicare Reform Act, and NPI
• Develop administrative processes to support compliance with enrollment requirements
• Direct and support employees' daily work activities
• Participate in hiring, termination, corrective action, and performance reviews

Provider Enrollment Supervisor

• Complete the government payer enrollment process for new individual providers and groups/locations
• Obtain information needed for government payer applications from providers and existing organizational records
• Complete maintenance updates and re-verification/re-validation for providers and groups/locations
• Maintain provider and group/location data, including name, office location, demographic, group, and TIN changes
• Populate and update internal and external databases reflecting government payer participation and related data
• Submit enrollment applications to appropriate state Medicare/Medicaid programs before Credentials Committee meetings or applicant approvals
• Submit enrollment applications before opening or acquiring groups/locations
• Collaborate with the multidisciplinary onboarding group and practitioners to complete application processes

• Complete government payer enrollment processes for new individual providers and groups/locations
• Obtain information from providers and leverage information from Medical Staff Administration and network development staff
• Complete maintenance updates and re-verification/re-validation for providers and groups/locations
• Maintain and update provider and group/location data, including name, office location, demographic, group, and TIN changes
• Populate and update internal and external databases with government payer participation data
• Submit enrollment applications to state Medicare/Medicaid programs before Credentials Committee meetings or applicant approvals
• Submit enrollment applications to state Medicare/Medicaid programs before opening or acquiring groups/locations
• Collaborate with the multi-disciplinary onboarding group and practitioners to complete application processes

Nurse

• Perform RN duties in an outpatient primary care or family medicine practice
• Provide direct, high-quality patient care within a team-based model
• Serve as a clinical resource for the medical practice
• Coordinate clinical management and care coordination for an outpatient population
• Collaborate with providers and community-based providers on preventive care, chronic disease management, transitions of care, ED visits, and inpatient discharges
• Provide healthcare education and support patient self-management goals
• Perform skilled telephonic triage, assessment, education, and care coordination
• Conduct Annual Wellness Visits and Chronic Care Management
• Manage INR and provide Coumadin teaching under standardized protocol
• Administer vaccines and medications according to provider orders and medication administration policies
• Perform wound care, point-of-care testing, examinations, treatments, and other nursing activities
• Document patient care in the Electronic Health Record
• Schedule tests and specialty-care referrals
• Monitor and follow up on abnormal test and imaging results
• Manage clinical supply and equipment inventory and ordering
• Collect, store, and process biologic specimens safely and accurately
• Provide oversight and delegation to MAs, Certified Nursing Assistants, and Nursing Students
• Educate and train practice staff and maintain clinical knowledge and mandatory training compliance
• Protect PHI and report adverse events and near misses to Risk Management

Rooming Team Nurse

• Provide high quality, direct patient care in a team-based model to BIDHC patients
• Support smooth and efficient administrative and clinical practice operations
• Develop empathetic relationships with patients, families, and colleagues
• Facilitate timely patient flow and communicate delays to patients and providers
• Engage patients regarding visit reasons and update medication and allergy lists
• Review screening questions such as PHQ-9
• Provide provider hand-offs covering visit reasons, abnormal vitals, and patient stories
• Obtain vital signs, height, and weight measurements
• Perform EKGs, point-of-care testing, and phlebotomy
• Administer immunizations when certified and assist with routine procedures
• Conduct patient outreach and basic health coaching for health maintenance and chronic disease needs
• Monitor, order, and maintain medical equipment and supplies
• Use the EHR to queue prescription renewals, add medications, enter or scribe clinician-directed orders, and document visit tasks for billing
• Schedule diagnostic and laboratory tests
• Verify insurance, prior authorizations, referrals, and pre-certifications
• Identify OSHA compliance issues and maintain patient safety practices
• Report adverse patient events and near misses
• Protect patient health information for treatment, payment, and operations
• Report to the Practice Manager