CSA Intensive Care Coordinator

About the role

The Care Coordinator is responsible for coordinating all services and supports identified in the ICP. The role reports to the Senior Care Coordinator and the CSA Program Director.

Responsibilities

• Conduct a comprehensive, home-based assessment inclusive of the CANS and other tools as determined necessary, which occurs in the youth’s home or another location.
• Identify with the family appropriate members of the CPT.
• Develop and implement a youth- and family-centered ICP in collaboration with the family and collaterals.
• Develop a risk management/safety plan in collaboration with the family and collaterals.
• Maintain regular contact with the family, youth (where appropriate), and other relevant persons in the youth’s life (collaterals).
• Facilitate CPT meetings.
• Maintain face-to-face contact with the youth and family, as determined by the youth and family and members of the CPT.
• Identify and develop with the family natural supports.
• Assist with system navigation.
• Provide family education, advocacy, and support.
• Identify and actively assist the youth and family to obtain and monitor the delivery of available services including medical, educational, social, therapeutic, or other services.
• Monitor, review, and update the ICP to reflect the changing needs of the youth and family.
• Provide after-hours phone support to address urgent child or family crises.
• Arrange or provide home visit support services after-hours as needed to address urgent child or family crises.
• Maintain communication with the ICP Team members and convene with ICP Team at least quarterly to review and revise the ICP.
• Coordinate services with state agencies, the school system, primary care, and other service providers as indicated on the ICP.
• Prepare all necessary reports and documentation of services, including authorizations, Individual Care Plans, and evaluation data.