Care Coordinator - 0005P - Mon, Wed,Fri 9AM-5PM

Position Summary

Care Coordinators are responsible for working collaboratively with their clientele, all their support systems, including community providers, to ensure support for overall health and wellness.

Essential Accountabilities

• Conduct outreach activities through various methods and engage individuals with chronic medical conditions, mental health issues, and/or substance use disorders, often co-occurring.

• Conduct initial and ongoing comprehensive assessments to determine strengths and identified needs.

• Prepare and revise care plans to reflect client needs and personal goals with a focus on maintaining health and wellness.

• Maintain contact with clients at least monthly, and more often as needed, providing telephonic as well as face-to-face outreach, engagement, and comprehensive service planning in the field.

• Advocate for and support clients to ensure access to resources necessary to support wellness/self-management and decrease frequency of emergency room visits and inpatient hospital admissions.

• Monitor and coordinate all care for clients, including access and maintenance of medical insurance, linkage to treatment providers and community resources.

• Collaborate with community providers at least monthly as part of a multi-disciplinary team to ensure goal-directed care planning.

• Conduct crisis intervention when needed and follow up accordingly.

• Maintain detailed, timely, and accurate record keeping in an electronic medical record.

• Coordinate with supervisor, office manager, and health home outreach team in a timely manner to ensure accurate caseload status (including enrollments, closures, and screen outs).

• Complete all required monthly documentation as required to ensure continuity of engaged clients’ medical insurance and to ensure appropriate and accurate billing.

• Work as part of a care management team, attend and participate in weekly team meetings to provide feedback and share resource information relating to client needs, issues, and concerns.

• Be responsible for reporting/coordinating daily office and field schedules with other members of the team and supervisor.

• Offer resources and serve as a consultant to all team members on medical/psychosocial/substance use issues as well as social service needs.

• Attend periodic trainings to enhance skill level and learn about wellness self-management and best practice skills.

• Participate in bi-weekly individual supervision to address concerns/issues and improve skill development.

• Be responsible for agency vehicles, including upkeep, documentation, and gas card when assigned.

• Be responsible for agency cell phone, laptop, and associated items.

• Follow program guidelines as outlined in the personnel manual.

• Report to the program administration any issues and/or concerns on a regular/as needed basis while working in the field.

What You’ll Gain

• Compensation: Competitive hourly rate based on experience.

• Robust Benefits: Medical, dental, vision, and 401k retirement plan (with matching).

• Work-Life Balance: Paid time off, holidays, and personal days.

• Wellness Program: Free and low-cost gym and wellness access and support.

• Training & Growth: Ongoing professional development and career advancement opportunities.

• Meaningful Work: Direct impact on the lives of youth and their families.

• Supportive Environment: A collaborative team that values your contributions.