Job Summary: The BH Licensed Clinician is responsible for utilizing their subject matter expertise across the continuum of care, to provide mental health services, consultation, care coordination and other targeted interventions to help promote positive health outcomes. Essential Job Functions Accountabilities: Utilizes behavioral health expertise in order to promote change to improve behavioral and physical health conditions and coordinate the care of an identified population throughout the healthcare continuum. Meets with the team, including providers and other clinical/non-clinical staff to contribute to the development of a comprehensive plan of care based on a systematic assessment of the physiological and psychosocial needs of the patient. Evaluates and modifies plans of care as needed. May provide ongoing follow-up between hospitalizations/outpatient visits. Monitors patient progress towards established goals. Coordinates and facilitates communication between members of the care team including providers, clinicians, staff and families. Collaborates with patient, family and healthcare team to arrange for identified home care needs. Acts as a hospital liaison for agencies and individuals involved with selected patients. Performs appropriate screenings/clinical assessments of mental health and substance abuse conditions. Documents all patient care activities appropriately in the medical record. Develops and maintains data system to track patients and outcomes. Identifies quality Improvement initiatives. Maintains timely, effective communications with the department leadership regarding all events or proposed changes which might impact regulatory issues, census variance, policies or procedures. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.