Duties: This position is as a Mental Health Care Facilitator (BHCF). The Primary Care Mental Health Program provides a team-based approach to healthcare by integrating mental health providers and registered nurses into Primary Care Clinics to deliver outstanding, evidence-based biopsychosocial assessment, treatment, prevention and management of mental health problems and biopsychosocially influenced health conditions for Military Health System beneficiaries. 1. Care Facilitation and Communication The Mental Health Care Facilitator performs independent, comprehensive telephone and clinical triaging in the primary care setting, supporting primary care providers in their treatment of patients with mental health conditions. Facilitates continuity of care through a multidisciplinary approach in the treatment of depression, post-traumatic stress disorder (PTSD) and anxiety disorders in adult beneficiaries. Monitors patient progress and symptom severity by conducting a structured telephonic interview and using validated tools (e.g. PHQ-9, GAD-7 and PCL-5). Provides patient education as an integral part of the services offered (e.g. medication education, alcohol effects on mood, etc.). Collaborates with patients to develop SMART self-management goals to assist patients with symptom improvement. Assists patients with treatment plan adherence. Communicates with providers regarding patient status and documents appropriately in the electronic medical record. Recognizes and reports abnormal test results, changes in symptoms and the need for follow-up. Communicates at least weekly with BHC and bi-weekly with the External Mental Health Consultant (EBHC) to review patients that require staffing. Coordinates patient referrals to support services provided through the internal and external community, or the TRICARE network. Responds to emergency situations. 2. Education and Caseload Management Assists clinic with patient and staff education and provides individual and small group training in order to increase referrals and promote understanding of the role of the mental health care facilitator. Engages in activities to increase caseload (e.g. reviewing PCM appointments, reviewing population metrics to target patients that would benefit from care facilitation etc.). Assists Mental Health Consultant (BHC) with educational classes. Compiles and maintains a variety of data reports, submitting detailed and aggregate program and caseload data reports as needed by program staff. Participates in hospital and clinic meetings, and performance improvement activities as assigned. Works collaboratively with the Nurse Case Manager to provide comprehensive, coordinated care. 3. Quality Assurance Follows quality improvement and internal control activities for the ambulatory care setting to include risk appraisals, conducting chart reviews, identifying trends and reporting corrective actions. Engages in at least quarterly peer review of chart documentation with other BHCF(s). Perform other duties as assigned.