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POSITION DESCRIPTION
POSITION: Behavioral Health Consultant I
Behavioral Health Consultant II
RESPONSIBLE TO: Clinical Services Manager
SALARY: Behavioral Health Consultant I Step Range 31 ($70,934) - 50 ($124,384); Full Benefits
Behavioral Health Consultant II Step Range 41($95,330) - 50 ($124,384); Full Benefits
CLASSIFICATION: Professional, Regular, Full time
LOCATION: Klamath Tribal Health & Family Services
Youth & Family Guidance Center
Klamath Falls, Oregon
BACKGROUND: P.L. 101-630 level
POSITION OBJECTIVES
The primary purpose of the Behavioral Health Consultant (BHC) is to provide immediate access to behavioral health services for individuals, families, and community members seeking care. Services may include behavioral health screening, assessment, brief intervention, crisis response, consultation, care coordination, referral services, and community outreach.
The Behavioral Health Consultant functions as an integrated member of the Primary Care Team and provides population-based behavioral health services utilizing a Primary Care Behavioral Health (PCBH) and Behavioral Health Integration (BHI) model. The BHC works collaboratively with Primary Care Providers, Registered Nurses (RNs), Certified Medical Assistants (CMAs), Community Health Representatives, Care Coordinators, and other healthcare professionals to address behavioral, emotional, lifestyle, substance use, and social factors that impact overall health and wellness.
The Behavioral Health Consultant provides same-day access services, warm handoffs, brief assessments, focused interventions, consultation, and care coordination designed to improve whole-person health outcomes and reduce barriers to care. Services emphasize prevention, early intervention, health behavior change, chronic disease self-management, recovery support, and patient engagement.
The Behavioral Health Consultant collaborates with medical providers, Tribal programs, schools, law enforcement, social service agencies, the Department of Human Services, Indian Health Service, and community partners to improve access to behavioral health and substance use disorder treatment services.
Services may be provided in primary care clinics, behavioral health settings, wellness centers, and alternate work sites.
The Behavioral Health Consultant provides direct patient care services utilizing Tribal-based practices and evidence-based interventions that are trauma-informed, healing-centered, culturally responsive, strengths-based, and person-centered in accordance with Tribal values, state ethics, and professional licensure requirements.
The Behavioral Health Consultant provides services through a trauma-informed and healing-centered framework that recognizes the impacts of historical trauma, intergenerational trauma, adverse childhood experiences (ACEs), and social determinants of health on individuals, families, and Tribal communities. The Behavioral Health Consultant promotes safety, trust, empowerment, resilience, self-determination, and recovery while honoring the strengths, traditions, and cultural values of The Klamath Tribes.
MAJOR DUTIES AND RESPONSIBILITIES

1. Creates, develops, and nurtures culturally appropriate interactions and connections and provides professional expertise and consultation to patients, families, healthcare teams, Tribal programs, and community partners.
2. Functions as an integrated member of multidisciplinary healthcare teams utilizing Primary Care Behavioral Health (PCBH), Behavioral Health Integration (BHI), and population health principles.
3. Provides trauma-informed, healing-centered, culturally grounded, and strengths-based behavioral health services that honor Indigenous ways of knowing, traditional healing practices, family systems, and community resilience.
4. Provides same-day behavioral health consultations through warm handoffs from Primary Care Providers, Registered Nurses, Certified Medical Assistants, and other healthcare team members.
5. Conducts focused behavioral health assessments to identify emotional, behavioral, social, cultural, substance use, and lifestyle factors impacting health outcomes.
6. Delivers brief evidence-based interventions appropriate for integrated care settings, including motivational interviewing, behavioral activation, problem-solving therapy, cognitive behavioral strategies, stress management, pain management, sleep interventions, chronic disease self-management support, and health behavior change counseling.
7. Provides brief behavioral health screenings, risk assessments, crisis intervention, stabilization, safety planning, and referral services for individuals experiencing mental health and/or substance use concerns.
8. Recognizes and responds to the impacts of historical trauma, intergenerational trauma, adverse childhood experiences (ACEs), and community trauma in assessment, treatment planning, and care coordination activities.
9. Assists medical providers in addressing behavioral health concerns commonly encountered in primary care, including depression, anxiety, trauma-related symptoms, substance use disorders, chronic pain, insomnia, medication adherence concerns, stress-related disorders, and health-risk behaviors.
10. Makes appropriate referrals and seeks resources to aid patients; leads or co-leads patient case conferences with service providers, family members, natural supports, and involved parties as appropriate.
11. Participates in daily team huddles, multidisciplinary case reviews, care coordination meetings, and treatment planning activities to support integrated patient care.
12. Provides behavioral health consultation and recommendations to Primary Care Providers, CMAs, RNs, care coordinators, and other healthcare professionals regarding treatment planning, patient engagement, behavioral management strategies, and care coordination needs.
13. Intervenes and assists in de-escalating situations involving agitated, confused, distressed, or emotionally overwhelmed patients and family members within KTHFS programs.
14. Educates, prepares, and refers patients for participation in individual therapy, substance use treatment, psychoeducation services, treatment groups, prevention activities, traditional healing opportunities, and recovery support services.
15. Collaborates with service providers to monitor and manage high-risk, chronic care, and high-utilization patients.
16. Utilizes evidence-based screening and outcome measures including PHQ-9, GAD-7, AUDIT, DAST, ACEs, Columbia Suicide Severity Rating Scale (C-SSRS), and other validated tools to support clinical decision-making and measurement-based care.
17. Supports population health initiatives through identification, engagement, and follow-up of patients with behavioral health needs, chronic medical conditions, social determinants of health challenges, and barriers to treatment engagement.
18. Provides advocacy, care coordination, and support to improve patient experiences and relationships between patients, providers, and support systems.
19. Promotes physical, emotional, cultural, spiritual, and psychological safety in all patient interactions and service delivery settings.
20. Documents assessments, consultations, interventions, treatment recommendations, and follow-up activities in the Electronic Health Record in accordance with integrated care, billing, quality improvement, and regulatory standards.
21. Independently produces professional, accurate, and timely written documentation with minimal supervisory correction.
22. Attends and participates in supervision, case consultation, team huddles, department meetings, trainings, and professional development activities.
23. Demonstrates the ability to rapidly transition between patients and tasks while prioritizing patient care needs, same-day consultations, and crisis response activities.
24. Assists with development and implementation of integrated care workflows, referral pathways, screening protocols, quality improvement initiatives, and Behavioral Health Integration services.
25. Promotes behavioral health, prevention, wellness, recovery, resilience, and integrated care services through outreach and community education activities.
26. Participates in the development, implementation, evaluation, and continuous improvement of behavioral health programs and services.
27. Assists during Tribal-sponsored cultural, traditional, educational, and community events that support the mission, values, and programs of The Klamath Tribes.
28. Like all employees of The Klamath Tribes, the Behavioral Health Consultant may be assigned additional duties that support the successful operation of Tribal programs and services.

ADDITIONAL RESPONSIBILITIES - BEHAVIORAL HEALTH CONSULTANT II

1. Serves as a clinical resource and mentor to Behavioral Health Consultant I staff and other behavioral health team members.
2. Assists with clinical consultation, multidisciplinary case review, and treatment planning for complex, high-risk, or multi-system cases.
3. Provides leadership in implementing trauma-informed care and Behavioral Health Integration principles throughout healthcare services and community partnerships.
4. Assists with staff orientation, training, quality improvement initiatives, program evaluation, and service development.
5. Supports implementation of integrated care workflows, measurement-based care initiatives, population health strategies, and evidence-based behavioral health practices.
6. Supports integration of culturally responsive, trauma-informed, and healing-centered practices across Tribal health services.

SUPERVISORY CONTROLS
Work is performed under the general direction of the Clinical Services Manager, following established Tribal policy. Unusual, new, or complex assignments that require deviation from past experience or precedents are discussed with supervisor.
This position requires consistent, sound judgment and the ability to work independently with minimal supervision. The incumbent exercises judgment based on training, protocol and licensing limitations. Employee exercises initiative in researching answers and solving problems based upon previous training, experience and instructions.
KNOWLEDGE, SKILLS, ABILITIES
Knowledge of Integrated Behavioral Health (IBH), Primary Care Behavioral Health (PCBH), Collaborative Care, and Behavioral Health Integration models.
• Knowledge of population health principles, whole-person care, and healthcare team-based service delivery.
• Knowledge of behavioral medicine interventions for chronic disease management and health behavior change.
• Knowledge of evidence-based screening instruments and measurement-based care practices.
• Experience working as part of a multidisciplinary healthcare team including providers, nurses, medical assistants, and care coordinators.
• Ability to provide brief, focused behavioral health interventions in fast-paced healthcare environments.
• Ability to effectively collaborate with Primary Care Providers, CMAs, RNs, behavioral health clinicians, and community partners.
• Ability to balance direct patient care, consultation, care coordination, crisis response, and population-based service delivery activities.
QUALIFICATIONS, EXPERIENCE, EDUCATION
Minimum Qualifications: Failure to comply with minimum position requirements may result in termination of employment.
• REQUIRED to possess a Master's Degree in Counseling, Clinical Social Work, Marriage and Family Therapy or a PsyD/PhD in Psychology or Counseling with completion of educational requirements from a professionally approved and accredited educational program with appropriate licensure and/or certification. ( Must submit copy of degree or transcripts with application).
• REQUIRED to have Oregon licensure to practice (LPC, LCSW, or LMFT). Out of state licensed professionals must be able to acquire an Oregon License within twelve months of hire. Klamath Tribal Health will reimburse up to $500 of the cost for testing and license. ( Must submit copy of applicable license with application, if currently licensed).
• REQUIRED to have experience in dual diagnoses (Behavioral health and substance use disorder).
• REQUIRED to have a minimum of two (2) years of clinical experience. Post-graduate supervised training may count toward this requirement.
• REQUIRED to have experience in the assessment of suicide risk, self-injurious behavior, and all high-risk behaviors, case management of high-risk clients.
• REQUIRED to have experience with clients who have been victims of physical and/or psychological trauma, with attention to early intervention.
• REQUIRED to possess and maintain a valid Oregon Driver's License, (out of state applicants must receive ODL within 90 days of hire), have good driving record and be insurable by the Klamath Tribal Health & Family Services' vehicle insurance policy. ( Must submit copy of driver license with application.)
• REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime.
• REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers.
• REQUIRED to acquire and maintain BLS certification within 180 days of hire; strongly recommend certification within 90 days of hire, probationary period will be extended for a maximu