Addiction and Sexual Health Care Coordinator

About the Job

The Community-University Health Care Center (CUHCC) is a federally qualified health center that is associated with the University of Minnesota. The clinic serves people of all ages from across the Twin Cities metro through a comprehensive range of services. CUHCC provides culturally responsive, whole-person care; serves as a site for experiential learning and mentoring for emergent health care professionals; and collaborates in innovative research/scholarship and advocacy to advance community health.

Position Overview

This care coordinator position supports patients across CUHCC's medical, psychiatry, and behavioral health services by coordinating care, managing referrals, and helping patients navigate internal and external resources. This position has a particular focus on patients with substance use disorder (SUD), including those enrolled in the clinic's Suboxone program and is responsible for increasing the accessibility of substance use disorder evaluation and treatment planning. This includes the day to day clinical care at patients visits, referrals, care coordination and acute addiction counseling services. This position also develops a professional trust with the Suboxone providers, assists patients in connecting with both internal and external care team providers (CPS, probation officers, treatment centers, etc.) to ensure patients are working on meeting their sobriety goals. This position requires knowledge of harm reduction strategies and available resources to patients on their road to recovery and will involve community outreach activities with CUHCC staff and other organizations to promote CUHCC’s opioid-related services and connect community members to care. This position will also support HIV prevention through CUHCC's PrEP (Pre-Exposure Prophylaxis) services, particularly for patients with SUD who are at elevated risk for HIV.

Position Information

• Reports to: SUD Program Manager
• Location: In-person at CUHCC with occasional participation at community events as directed by the supervisor
• Hours: Mon-Fri 8:30 AM- 5:00 PM with occasional evening and/or weekend hours
• Pay Range: $28.00 - $32.00/hour which equates to $58,240.00 - $66,560.00/annually for 1.0 FTE, depending on qualifications

Position Responsibilities

• Care Coordination (85%)
• Substance Use Disorder Care Coordination (50%)
• - Conduct SBIRT (Screening, Brief Intervention and Referral to Treatment) services to both patients enrolled in the suboxone program as well as other patients struggling with substance use disorder
• - Manage new referrals to the SUD program, which includes registering new patients, explaining the program’s guidelines and expectations to the patient and scheduling for the first appointment.
• - Interact with patients who are experiencing a crisis. Apply solution-focused strategies to work with the patient on how to best help them with developing a plan to get their needs met.
• - Available for warm hand offs (during clinic visits) from providers to meet with patients who are still in the precontemplative or contemplative stage with their substance use. Use motivational interviewing skills to assist the patient in making an informed decision
• - Complete and submit prior authorization requests to insurance providers for prescribed medications, Suboxone and others
• - Contact pharmacies, as needed, for patients when issues arise regarding any of their prescribed medications
• - care team, as needed, when any changes are made to the patient’s care plan and document the changes in the EMR
• - Coordinates with outside agencies i.e. treatment centers, probation officers, CPS workers, etc., in order to support the patients in their recovery
• - Meet with patients who are actively in withdrawal and looking for detox services. Provides assistance with finding resources/open beds in outside facilities and coordinating admission as able
• - Attends/participates in SUD team meetings for case consultation
• - Provide required program data, as needed, for reporting purposes
• - Keep current with evidence-based practices and harm reduction strategies in order to be able to provide patient centered, culturally responsive care
• PrEP Care Coordination (25%)
• - Establish and manage referral pathways with community organizations to identify and refer people who could benefit from PrEP to CUHCC
• - Provide care coordination services to patients taking PrEP, including re-engaging patients who drop off
• - Support panel management of PrEP patients in collaboration with CUHCC providers
• - Collaborate with the CUHCC Pharmacy team to review refill records and follow up by phone and outreach with patients who miss refills
• - Reduce transportation barriers by providing bus tokens and/or registering patients in Metro Transit's Transportation Assistance Program
• - Help patients navigate continuation of PrEP services as they transition between community, treatment, and other settings
• - Integrate PrEP identification, education, and recruitment into outreach activities with community members at high risk for HIV
• General Care Coordination (25%)
• - Work collaboratively with psychiatry, dental, and medical providers, community programs staff (CM & ARMHS), CMAs, and nurses for patients receiving care coordination at CUHCC
• - Make outreach calls to patients with high-risk needs (when flagged by a provider) to engage them in treatment and support providers' recommendations and referrals
• - Manage patient care panels through in-baskets, work queues, and referral buckets in the electronic health record
• - Make referrals and ensure follow-up with specialty care services with patients and family members as appropriate
• - Update the care team when changes are made to a patient's care plan and document changes in the EMR
• - Provide required program data, as needed, for reporting purposes
• Community Outreach & Mobile Care (10%)
• - Represent CUHCC in select community-based settings to share information about CUHCC’s primary care-based SUD services with community members affected by SUD
• - Serve as a liaison between CUHCC and select community organizations to share information about CUHCC services and build referral partnerships
• - Participate in mobile delivery of opioid-related services with CUHCC and other organizations
• - Establish and maintain referral pathways with external organizations, including methadone clinics and community organizations
• Other Duties (5%)
• - Assist with onboarding, training, and with daily task supervision of MSW interns - case consultation, assistance with finding resources, EMR navigation, etc.
• - Attend all staff meeting, care coordination team meeting, and others as assigned by supervisor
• - Attend weekly individual supervision
• - Gather and maintain resources necessary to implement responsibilities of position

Qualifications

• Required Qualifications
• - Bachelor’s degree in a behavioral or health science or a related field, and at least four years of experience in chemical or behavioral health; OR a combination of related education and experience totaling eight years.
• - Licensed Alcohol and Drug Counselor (LADC) or Masters in Addiction Counseling
• - Bilingual in one of CUHCC’s dominant languages: Somali, Spanish, Vietnamese, Hmong, or Laotian
• - Knowledge and interest in serving patients with mental and chemical health needs
• - Knowledge and interest in HIV prevention and sexual health
• - Experience in managing clinical care using an electronic health record
• - Knowledge of community resources and/or social service agencies
• - Experience in providing care coordination to a complex, diverse population
• Preferred Qualifications
• - Negative TB test
• - Hepatitis B vaccination

About the Department

At CUHCC, we're transforming urban health care and educating the next generation of healthcare professionals. CUHCC offers a full range of dental and mental health services that are typically not offered at a community health center, such as prosthodontic services and psychiatry. CUHCC has pharmacists, psychiatric nurse practitioners, dentists, dental hygienists, nurses, family nurse practitioners, family practice physicians, internal medicine physicians, internal medicine-pediatric physicians, licensed social workers and psychologists among other disciplines on staff. CUHCC's interprofessional care model uses a collaborative, team-based approach to deliver education and patient care, integrating these services. Students and residents at CUHCC have the opportunity to work with other students and preceptors in other fields to best serve the complex needs of the patients. Over half of CUHCC’s mental health patients also receive medical services at CUHCC, allowing CUHCC providers to work collaboratively to provide patient centered care. As a founding member in the country's first accountable care organization (ACO) for federally qualified health centers, CUHCC is leading change in urban health and improving patient outcomes to meet the Institute for Healthcare Improvement's Triple Aim: improve the patient experience, improve patient health, and reduce the cost of patient care.

Pay and Benefits

• Pay Range: $28.00 - $32.00/hour which equates to $58,240.00 - $66,560.00/annually depending on education/qualifications/experience
• Time Appointment: 100% Appointment
• Position Type: Civil-Service & Non-Faculty Labor Represented Staff

How To Apply

Applications must be submitted online. To be considered for this position, please click the Apply button and follow the instructions. You will be given the opportunity to complete an online application for the position and attach a cover letter and resume. Additional documents may be attached after application by accessing your "My Job Applications" page and uploading documents in the "My Cover Letters and Attachments" section. To request an accommodation during the application process, please e-mail employ@umn.edu or call (612) 624-8647.