Behavioral Health Utilization Management Jobs in McAllen, TX

DHR Health - US:TX:Edinburg - Days
Summary:
FLSA STATUS: ☒ Exempt ☐ Non-Exempt
MISSION STATEMENT:
Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.
VISION:
Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.
POSITION SUMMARY:
The Behavioral Health Specialist - Core Faculty is an integral member of the DHR Health Family Medicine Residency Program and supports the program's Integrated Behavioral Health (IBH) model within primary care. This role includes responsibilities in resident education and supervision, clinical behavioral health services within the Family Medicine Practice (FMP) clinic, curriculum development, scholarly activity, and program administration. The Behavioral Health Specialist works collaboratively with physicians, residents, and interdisciplinary team members to integrate behavioral health into patient care using a biopsychosocial model, with emphasis on whole-person, patient-centered care.
POSITION EDUCATION/ QUALIFICATIONS:
• Master's or Doctoral degree in Behavioral Health (Psychology, Counseling, Social Work, MFT, or related field)
• Current Texas licensure (or eligibility) in appropriate behavioral health discipline
• BLS certification within 3 months of hire
• Experience utilizing evidence-based behavioral health interventions such as CBT, ACT, or Motivational Interviewing
• Experience in integrated behavioral health or primary care setting preferred
• Experience teaching in an academic medical or residency environment preferred.
JOB KNOWLEDGE/EXPERIENCE:
• Expertise in integrated behavioral health within primary care
• Knowledge of evidence-based interventions (CBT, Motivational Interviewing, trauma-informed care)
• Familiarity with ACGME Family Medicine Program Requirements
• Strong teaching, mentorship, and interdisciplinary collaboration skills
• Experience with curriculum development and resident evaluation (e.g., New Innovations)
• Ability to function effectively within interdisciplinary healthcare teams
• Exceptional organization skills.
• Effective written and verbal communication skills.
• Ability to adapt and adjust to new or changing situations.
• Exceptional interpersonal and communication skills.
• Ability to maintain confidentiality.
• Demonstrates proficiency with computer applications, online resources and equipment utilized by the department and institution.
Responsibilities:
POSITION RESPONSIBILITIES:
1. Resident Education and Teaching
• Develop and deliver behavioral health education for Family Medicine residents.
• Provide lectures, workshops, and case-based teaching on motivational interviewing, trauma-informed care, crisis intervention, substance use disorders, and management of common psychiatric conditions in primary care.
• Supervise and mentor residents in clinical settings, focusing on integrating behavioral health into patient care.
• Provide direct observation and supervision of residents during behavioral health encounters.
• Facilitate interdisciplinary case conferences and behavioral health case discussions.
• Complete resident evaluations and milestone assessments using the program's evaluation platform (e.g., New Innovations).
• Participate in resident mentorship, wellness, and professional development activities.
2. Clinical Responsibilities
• Provide supervision of integrated behavioral health services within the DHR Health Family Medicine Practice (FMP) clinic.
• Oversee residents and staff during same-day behavioral health consultations through warm handoffs from physicians and residents.
• Provide direct patient care as part of continuity of care for the DHR Health FMP clinic.
• Oversee residents and staff in provision of brief behavioral interventions and short term psychotherapy appropriate for primary care.
• Guide and collaborate with the interdisciplinary care team to develop comprehensive treatment patient care plans addressing behavioral and psychosocial factors.
• Supervise residents and staff in behavioral health screening, diagnostic assessment, crisis management, and behavioral treatment planning.
• Review clinical documentation of patient encounters and consultations in the electronic health record according to institutional standards.
3. Integrated Behavioral Health Program Development
• Support development and ongoing refinement of the residency program's Integrated Behavioral Health model.
• Assist with development of screening protocols including PHQ-9, GAD-7, substance use screening, and social determinants of health assessments.
• Collaborate with clinical leadership and faculty to improve access to behavioral health services within the primary care setting.
• Participate in population health and behavioral health quality improvement initiatives.
4. Residency Program Participation
• Participate in required residency program committees including the Clinical Competency Committee (CCC) and Program Evaluation Committee (PEC).
• Attend faculty meetings and contribute to program evaluation and continuous quality improvement initiatives.
• Participate in resident recruitment and interview activities.
• Assist with accreditation preparation and ACGME compliance activities.
5. Scholarship and Academic Contribution
• Participate in scholarly activities consistent with ACGME expectations for residency faculty.
• Contribute to quality improvement initiatives related to behavioral health and integrated care.
• Present educational or scholarly work at institutional, regional, or national meetings.
• Support resident scholarly projects and quality improvement initiatives
6. Faculty Development

• Participate in faculty development activities
  Provide behavioral health training to faculty and staff
  Maintain licensure and continuing education
  Core Faculty Expectations
• Maintain protected time to support resident education, supervision, curriculum development, and scholarly activity.
  • Participate actively in the educational mission of the residency program.
  • Demonstrate commitment to ACGME Family Medicine Program Requirements and institutional GME policies.
  • Participate in direct patient care while serving as a role model for residents in professionalism, interdisciplinary collaboration, and patient centered care.
  GME Administrative Responsibilities:
  • Collaborate with Program Director and GME leadership
  • Support residency-specific behavioral health curriculum (not institution-wide ownership)
  • Maintain documentation for ACGME compliance
  • Contribute to program-level reporting and improvement efforts
  .

Other information:
LINES OF REPSONSIBILITIES:
(Chain-of-command)
1. Program Director → 2. VP
CUSTOMER SERVICE:
Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC:
Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.
AMERICANS WITH DISABILITIES ACT: (ADA):
A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.
The following table provides physical requirements that will be associated with, but not limited to, this position:
Light/moderate lifting up to 20 lbs., from the floor to shoulder height.
Yes
Kneeling
Yes
Must be able to assist other employees with lifting more than 20 lbs.
Yes
Walking
Yes
Light/moderate carrying up to 20 lbs.
Yes
Standing/Squatting
Yes
Straight pulling
Yes
Sitting
Yes
Pulling hand over hand
Yes
Pushing
Yes
Repeated bending
Yes
Stooping/Bending
Yes
Reaching above shoulder
Yes
Climbing Stairs
Yes
Simple grasping
Yes
Climbing Ladders
No
Dual simultaneous grasping
Yes
Depth Perceptions needed
Yes
Ability to see
Yes
Identify Colors
Yes
Operating office equipment
Yes
Twisting
Yes
Operating mechanical equipment
Yes
Crawling
No
Ability to read and write
Yes
Ability to Count
Yes
Ability to hear verbal communication without aid
Yes
Operating Personal Vehicle
Yes
Ability to comprehend written/verbal communication
Yes
Other: Ability to deal with stress
Yes
OSHA Category
III
B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
D. Aptitudes: HIGH 1 2 3 4 5 6 LOW
Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3
Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3
Numerical: Ability to perform arithmetic operations quickly and accurately. 2
Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2
Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3
Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2
Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3
Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3
Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3
Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3
Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3
I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.
If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.
Employee Signature: ________________________________ Date: ____________________
Transfer/Hire Date Effective: ________________________.