Pathways to Sucess Care Coordination and Support

Position Title: Pathways to Success Care Coordination and Support

Department: Behavior Health Services

Reports to: Pathways to Success Program Supervisors

Directly Supervises: Pathways to Success Contacts and Referral Sources

Position Objective and Summary:

Under the direction of the of the Pathways to Success Supervisor, the Care Coordination and Support: High Fidelity Wraparound (CCSW) takes primary responsibility for making the wraparound process happen for children with a mental health diagnosis and their families through the facilitation of Child and Family Team Meetings, coordinating with professionals, and helping th child meet their goals. CCSW is provided to children stratified into Tier 1. Designated CCSW Care Coordinators work with an average of 10 families (based on population) at a time and are never assigned t work with more than 12 families at once. The CCSW helps the family develop a positive view of their future and learn how to use the strength-based empowerment model to help their child improve functioning in the home, school, and community

Pathways to Success is a State of Illinois initiative to provide comprehensive care coordination that will enhance access to critical behavioral, medical and social services for children with complex behavioral health challenges. The program utilizes the evidence-informed Care Coordination and Support model. This is a structured approach to care coordination that adheres to required procedures for child and family engagement, individual care planning, identifying and utilizing strengths and natural supports while monitoring progress and fidelity to the required processes. Care Coordinators assist the families in navigating the complex systems of care until they can navigate them on their own.

Essential Functions and Responsibilities:

Monitoring Service Delivery

• Perform outreach & engagement to locate, engage, and educate Pathways youth and their families.
• Using a trauma-informed approach and effectively engaging children/youth with significant behavioral health needs and their family/caregivers to resources within the community for their assigned caseload.
• Facilitate high fidelity wraparound services for families: utilize a strengths-based approach to safety planning, development of family team and family support systems, and wraparound planning for the purpose of maintaining children in their homes, schools, and communities.
• Schedule, plan and facilitate Child & Family Team Meetings.
• Builds and maintains knowledge of available community resources and helps to link youth and family to needed supports.
• Provide regular communication and close collaboration with multiple community partners.
• Using a system of care approach, assist families to coordinate services from community resources, placement providers, collateral agencies, the court, and/or other community partners with families, clients, or patients receiving services.
• Collaborate with local MCR agencies (including UCAN's BHS MCR team) when necessary.
• Facilitate the creation of safety and crisis prevention plans.
• Utilize UCAN's BHS Care Coordination Model with every individual and family served.

Identifying and Addressing Client Needs

• Effectively applies clinical knowledge to evaluate client situations and needs.
• Identifies at-risk clients and behaviors before serious acting-out occurs.
• Successfully engages and develops rapport with a wide range of clients.
• Structures services in accordance with program expectations.
• Maintains consistency and safety throughout service provision.
• Guides to make decisions based on clinically appropriate, best practice, and ethical considerations.
• Seeks case consultation.

Quality and Accountability

• Follows all applicable regulatory standards, including but not limited to: COA standards, Pathways to Success {policy and procedure, and Medicaid procedures.
• Clearly documents actions taken (clinical, supervisory, and administrative) in a timely manner and in a format consistent with requirements.
• Ensures that all data entry is complete, accurate and updated a required by program standards.
• Prepares and distributes reports and correspondence in a timely manner.

Team Building and Agency Networking

• Develops and maintains professional relationships with social service and government agencies and private organizations to enhance service delivery and department image.
• Works effectively with others in a multi-disciplinary setting and actively listens to others.
• Builds strong interpersonal relationships with service delivery and service coordination and follow up.
• Discusses alternative problem solving and is open to new ideas and ways of doing things.
• Shares specialized knowledge and resources with team and other UCAN departments.
• Coordinates services with multiple UCAN programs to ensure appropriate services for clients and teamwork between programs
• Plans for client transitions to other UCAN programs to provide seamless transition for clients and a cooperative team process.

Professionalism and Work Conduct

• Behaves with integrity, demonstrates high ethical standards, and displays a positive image of UCAN and Pathways to Success program.
• Acts in a professional manner at all times and maintains appropriate boundaries with clients.
• Demonstrates accountability for results and keeps commitments to others.
• Reports to work, meetings, training, and job related activities prepared and as scheduled.
• Demonstrates openness and respect for cultural and socioeconomic characteristics of clients and coworkers.
• Understands and supports UCAN's standard of cultural proficiency and strives to meet it.
• Responds to clients and their families, UCAN staff, service providers and other stakeholders in a timely manner and ensures follow up to adequately address their need.
• Maintains personal professional development and appropriate knowledge of client needs and problems for which services are sought. Remains current on service work theory and practice.
• Performs other related tasks as required or assigned.

Education /Job Experience/Certification:

• Bachelor's or master's degree in social work, counseling, rehabilitation counseling, vocational counseling, psychology, pastoral counseling, family therapy, education or related human service field; or in any other field with two years of supervised clinical experience in a mental health setting required.
• Professional Licensure/Certifications and Requirements: NONE
• Experience working with Children/adolescents and families is required.
• Experience with care coordination is a plus.
• Excellent communication, organization, presentation and computer skills (including proficiency with Microsoft Office – Outlook, Word, Excel and PowerPoint) as well as other related software.
• Experience with technology for documenting notes, making referrals, and investigating available services.
• Organizational skills and daily work planning.
• Excellent interpersonal and customer service skills.
• Strong written and oral communication skills.
• Problem solving and analytical skills.
• Adherence to ethical practices and procedures.
• Demonstrated cultural sensitivity, humility, and competence.
• Ability to present a positive image of the agency to clients, community and staff.
• Ability to work in stressful situations, handle multiple tasks and projects simultaneously.
• Ability to resolve issues objectively and maintain strict confidentiality.

Special Knowledge and Qualifications:

• Must meet Illinois requirements of a Mental Health Professional or Qualified Mental Health Professional
• Bachelor's or Master's Degree in the human service-related field.
• Willingness to become knowledgeable of the communities served in Chicago
• Personal vehicle, valid driver's license, insurable driving record and vehicle insurance
• Experience working in healthcare or social service agencies a plus
• Energetic and enthusiastic to work with families in underserved communities
• Must become IM-CANS certified and maintain certification, if not already certified in IM-CANS
• Bilingual abilities are a plus
• Personal vehicle, valid Illinois driver's license, and insurable driving record is required
• Able to work in a multidisciplinary setting.
• Is open and respectful of cultural and socioeconomic characteristics of clients and is willing and competent to work with a diverse client population.
• Effective verbal and written communication skills.
• Ability to work both independently and a part of a high functioning team.
• Demonstrates sensitivity to special population and ability to interface with the community.

At UCAN, we prioritize the health and well-being of our team, as it is essential to our mission of serving the community. Our competitive benefits package is designed to help you and your family thrive. Below, you'll find a comprehensive list of the benefits we offer.

Benefits You Can Choose From:

• Medical
• Dental
• Vision
• Voluntary Life Insurance
• Voluntary Short-Term Disability
• Voluntary Critical Illness Insurance
• Voluntary Accident Coverage
• Flexible Spending Accounts (FSA)
• Health Savings Accounts (HSA)
• Retirement Plan (401k)
• Tuition Reimbursement

Benefits Provided at No Cost to You:

• Group Life and AD&D Insurance
• Group Long-Term Disability
• Employee Assistance Program (EAP)

UCAN Chicago is an equal-opportunity employer. We are committed to creating an inclusive environment for all employees and applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.