Care Coordinator

About the role

The Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to adults diagnosed with a severe mental illness, with multiple medical co-morbidities and/or co-occurring substance abuse disorders. The Care Coordinator advocates for and supports the client, engages with community agencies/health care providers and others on the client's behalf to ensure access to services, to increase wellness self-management and to reduce emergency room visits and/ or hospitalizations. The Care Coordinator will provide expert support and psychosocial and/or substance abuse interventions, and resources to aid in the consumer's care while maintaining focus on outcomes and best practices.

Responsibilities

• Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.
• Participates in the development/documentation /review and update of client centered comprehensive, integrated, interdisciplinary care plan in consultation with Program Supervisor and other team members to ensure focus on desired outcomes.
• Maintains effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff on behalf of clients.
• Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.
• Collaborates with other providers of services/ resources to ensure goal directed, collaborative care, including care transitions.
• Works as part of a Care Coordination team; attends and participates in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals.
• Acts as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources.
• Provides telephonic as well as face-to-face outreach, engagement and service planning in the field.
• Acts as a linkage to community services including medical, behavioral, residential, entitlement and any other needed services per interdisciplinary care plan.
• Monitors overall service delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed.
• Provides crisis intervention and follow-up on an as-needed basis 24 hours a day, 7 days a week.
• Participate in ongoing supervision, training and education as needed to ensure a high quality of service delivery and continued professional growth.
• Facilitate sharing of data with the individuals to whom it applies to facilitate partnered decision-making and to keep clients informed of progress.
• Complete QI Training during onboarding and participate in QI refresher training as needed.
• Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences. A Culture that makes better decisions, drives innovation, and delivers better business results.
• Adherence to all safety protocols and procedures to ensure a safe working environment for all employees. Demonstrate a commitment to maintaining a safe work environment by following established safety guidelines.
• Health and Safety Awareness: Include any relevant knowledge or experience regarding health and safety protocols to ensure a safe work environment for all employees.

Qualifications

• Bachelor's Degree or Master's Degree in one of the following fields preferred: Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational therapy. Degrees in other related areas may be considered.
• For H.S. Diploma/GED level candidates, four (4) years of related human service and direct service experience required.
• For B.A. level candidates, one (1) year of related human service and direct service experience required. Experience should be in providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities, in linking clients to a broad range of services essential to independent community living, and in advocacy for underserved or disenfranchised populations.
• Bilingual preferred.
• Working knowledge of computer software and electronic health record systems.
• Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.
• Experienced in and demonstrated comprehensive understanding and working knowledge of the interdisciplinary planning process and the developmental treatment model.
• Knowledge and sociological understanding of Medicaid, Social Security and other entitlements preferred.
• Excellent interpersonal skills required.
• Knowledge of cultural competence and sensitivity.

Benefits

• $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit
• Flexible Spending Account
• 403(b) retirement plan
• Long Term and Short Term Disability
• Legal Plan
• Dependent Care Expense Account
• Life Insurance/Supplemental Life Insurance
• Pet Insurance
• HRA
• Training programs including a Mentorship program
• Employees may be eligible for Federal/Public Student Loan Forgiveness
• Career growth and Promotional opportunities
• Employee Perks and Discounts to Broadway shows and more
• 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly and so much more.