Behavioral Health Care Manager – Collaborative Care Model (CoCM) Department: Behavioral Health / Clinical Operations Location: Southfield, MI | On-Site Employment Type: Full-Time Reports To: Clinical/Behavioral Health Leadership Education: Master’s Degree in Social Work (MSW) Position Summary 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. What You'll Do 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. Visit www.epichs.org to learn more. Background checks are required for this role.