As part of the HCRS Care Coordination Program the Care Coordinator provides care coordination in consultation with the medical and social service providers, to complete screenings, case management and resource coordination, seeking to understand and/or alleviate mental health and/or substance use distress and barriers to accessing needed supports.

Principal Responsibilities and Duties:

• Coordinates internal and external referrals.
• Utilizes aspects of the SBIRT model (Screening, Brief Intervention, and Referral to Treatment), that includes referrals to treatment between HCRS and other community partners.
• Assists individuals and families with identifying and prioritizing goals
• With individuals, formulates time-limited care coordination plans that target clearly identified care coordination goals with a means of measuring success and program completion.
• Provides care coordination and resource connection
• Establishes relationships with community team, other providers, partnering community agencies, and identified support systems for clients, collaborating as indicated for clinical reasons.
• Completes periodic reports as required by the agency and state.
• Maintains accurate and timely clinical documentation in the Electronic Medical Record.
• Adheres to professional and ethical conduct at all times

Scope of Position:

The Care Coordinator is an integral member of HCRS and provides care coordination, case management and resource coordination. The coordinator carries a caseload that enables consistent with CCBHC program requirements, collaborates with other HCRS providers and community providers as well as outside agencies; adheres to agency, state, federal, and licensing board guidelines regarding ethical practice, billing, and documentation.

Key Knowledge, Skills and Abilities to successfully perform this job:  

• Ability to engage, empathize, and have compassion for the community members.
• Knowledge of developmental trauma and attachment issues
• Knowledge of mental health, substance use, and behavioral issues that impact an individual’s quality of life, particularly within a culture of poverty
• Knowledge of community resources
• Healthy communication skills that allow for honest discussions, feedback, and exchanges
• Intermediate or Advanced computer skills
• Ability to work well with a team and demonstrate flexibility when consumer, program, and/or agency needs require it
• Excellent communication skills both in written and verbal expression necessary.

Relationships:

• Reports directly to HCRS Care Coordination Team Leader
• Expected to work close with HCRS and community partners, including direct-service providers and support staff
• HCRS ambassador in the community at area partners’ meetings

Qualification Statements

Minimum:

BA in Social Work or related field, will consider work experience in lieu of BA degree.

 Working Conditions and Additional Information: 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work is generally office based and community based which includes community locations such as a client’s home or within organizations that serve people.

The noise level in the work environment is usually quiet.