Care Team Specialist - Nebraska CCBHC

Summary Description Of Work

The Care Team Specialist (CTS) is a care coordination role within the Certified Community Behavioral Health Clinic (CCBHC) model responsible for supporting timely access, engagement, and continuity of care for individuals receiving mental health and/or substance use services. The CTS serves as a central coordination point to identify care team members, address barriers to service access, and facilitate communication across medical, behavioral health, substance use, and community support systems. This role includes direct client engagement to support care coordination and continuity.

Compensation

Between $19.74 and $23.54 per hour (wage is based upon total years of relevant experience).

Work Schedule

37.5 hours per week

Minimum Qualifications

• Bachelor’s degree in social work, psychology, sociology, human services, or related field (or comparable experience)
• One (1) year experience in health, behavioral health, or human services preferred
• Demonstrated ability to engage clients and communicate effectively with providers
• Basic computer and documentation skills
• Strong communication skills with providers and community partners
• Ability to work within a multidisciplinary, team-based care model

Essential Duties And Responsibilities

• Serve as an initial point of contact to build rapport and assess client needs related to access, coordination, and engagement in services.
• Identify existing care team members, including medical, behavioral health, substance use, social service, and natural supports, and when such supports are not yet in place, identify and facilitate connections to appropriate resources and care team members.
• Maintain system-level alignment, monitor engagement, identify gaps in care, and connect clients to the appropriate level of ongoing support.
• Contribute (LEAD) the development and updating of individualized care coordination plans in collaboration with the client and providers, identifying strengths, needs, goals, and service alignment.
• Assist clients with referrals, releases of information, and warm handoffs to appropriate services.
• Facilitate communication among providers, internal teams, and support networks to promote continuity and shared understanding of care goals.
• Support timely access to services by coordinating referrals, releases of information, and warm handoffs.
• Identify gaps in services or access and advocate for connection to appropriate community resources.
• Coordinate case review conferences or care team communication when appropriate.
• Complete and maintain accurate, timely documentation in accordance with agency and state standards that are audit ready.
• Maintain episodic, purpose-driven contact with clients to confirm care connections.
• Identify when client needs exceed the CTS scope and escalate to targeted case management or other appropriate services.
• May provide short-term, crisis-responsive case management while facilitating referral and transition to other appropriate services.
• Build and work within a multidisciplinary team, utilizing team expertise appropriately.
• Maintain professional relationships with community providers and service partners.
• Identify gaps in care, access, or coordination and facilitate connection to appropriate services and care team members to advocate for client needs where necessary.
• Support agency efforts to build community connections that enhance access to care.