Collaborate with the primary care teams to identify appropriate patients to refer to the Oak Street Behavioral Health Program. Screen and assess patients for common mental health and substance use disorders. Develop care plans and provide or facilitate referrals to Oak Street’s psychiatric consultant and/or external resources. Provide short-term counseling and evidence-based treatments. Coordinate care with Oak Street’s psychiatric consultant, including warm handoffs for telehealth visits and collaboration on care plans. Develop relationships with primary care teams and consistently communicate changes in behavioral health care plans. Accurate and timely documentation of patient encounters and counseling sessions in Oak Street’s electronic medical record. Participate in regional and organizational efforts to advance Oak Street’s Behavioral Health Program through workshops, feedback sessions, and surveys. Possibly covering multiple clinics, depending on the maturity and panel sizes of those clinics. Other duties, as assigned.