What are the responsibilities and job description for the Care Coordinator - Substance Use Disorders position at Family Health Center of Marshfield Inc?
JOB SUMMARY
The Care Coordinator is responsible for providing outreach and service coordination to patients diagnosed with substance use disorders. This role functions as part of a recovery-oriented system of care and works collaboratively with patients, families or caregivers, healthcare providers, and community resources to support the patient’s recovery journey. The Care Coordinator serves as a key partner in developing and implementing individualized care plans, ensuring services are coordinated effectively, and with sensitivity to each patient’s needs. This position requires strong interpersonal and organizational skills, as well as the ability to navigate complex systems of care while maintaining a high level of professionalism, compassion, and confidentiality.
ESSENTIAL JOB FUNCTIONS
- Serves as the primary contact, advocate, and informational resource for patients, providers, family/caregivers, and community partners to ensure coordination of care across systems and services.
- Completes assessments to identify unmet health and social needs necessary for developing individualized care plans.
- Develops individualized care plans in collaboration with patients, families/caregivers, and providers to address behavioral, psychosocial, environmental, legal, and financial needs.
- Discusses treatment options and available resources with patients, families, and care teams; initiates referrals to ensure connection with appropriate services.
- Facilitates patient access to medical and community-based services that support identified treatment goals.
- Provides emotional support and assists patients and families in developing coping strategies to promote recovery and well-being.
- Facilitates multidisciplinary team meetings and communicates with family, friends, and agencies, as authorized, to support care planning.
- Monitors patient progress, supports adherence to care plans, coordinates necessary changes, and evaluates care plan effectiveness.
- Establishes processes that allow patients and families/caregivers to request desired levels of care coordination support.
- Educate patients and families/caregivers about community resources and key issues critical to supporting recovery.
- Coordinates and attends meetings with patients, families/caregivers, care teams, payers, and community resources to promote treatment success.
- Documents relevant medical, psychosocial, and environmental information, along with services provided, to track outcomes and support effective practice.
- Participate in meetings, conferences, and educational seminars to maintain or enhance knowledge and professional standards.
- Travels as required to attend meetings, support patients, and fulfill departmental responsibilities.
- Maintains strict adherence to scheduled work hours with regular and reliable attendance.
- Performs other duties as assigned.
EDUCATION AND EXPERIENCE
- High school diploma or equivalent required
- Personal and/or professional knowledge of substance use disorders and integrated service delivery systems.
- Experience with communication, facilitation, and organizational skills, with the ability to multi-task in a fast-paced environment required.
- Must be proficient in the use of personal computers and have working knowledge of word processing software.
- Preferred bachelor's degree in human services or social services preferred.
CERTIFICATIONS / LICENSES
Valid Wisconsin Driver’s License required with an acceptable motor vehicle record (MVR), per FHC guidelines.
Equal Employment Opportunity