View Point Health

Job Title: Care Coordinator

Job Code: SST012/Social Services Tech 3

Shift: Full-Time (40 hours per week on average)

Job Hours: Times May Vary

Base Location: Savannah area (Chatham, Effingham, Bullock, Bryan, & Lower Region 2 Counties)

Division/Department/Program: Case Management Entity (CME)

View Point Health is seeking a Care Coordinator who can join a team of professionals in an exciting rewarding program called Intensive Customized Care Coordination (IC3) which provides Wraparound services to youth and families for the entire state of Georgia. IC3 (wraparound) is a team-based process that implements wraparound process to youth and adolescents ages 5-21 years old with mental health diagnosis. This position will be based out of and will serve youth/families in Savannah and surrounding counties.

Intensive Customized Care Coordination (IC3) is a collaborative, oriented team approach that utilizes the wraparound process as the base for implementing services. The approach involves team members that include family members (when appropriate), therapist, doctors, community resources, natural support, and other child servicing agencies as active participants. Care Coordination (wraparound) emphasizes on shared decisions which encourages using the ten principles of wraparound, being supported by effective team progress, grounded in strength perspective, driven by underlying needs and determined by families ensuring that families reach their goals. IC3 is also highly coordinated with primary medical care with a focus on optimizing the families that are serviced with overall mental, emotional and physical health.

Duties & Responsibilities:  

Development of Plan of Care-

• Responsible for using referrals and other assessment information to convene the family’s care planning team (aka Youth & Family Team).
• Facilitates the Youth and Family Team (CFTM) in developing a family-centered, strength-based, and individualized plan of care (aka Action Plan). This plan should specify goals and actions to address the medical, behavioral, social, educational and other community supports and services needed by the youth and family to better achieve self-sufficiency. The CC will complete this process once a month.
• Responsible for developing and implementing a crisis and safety plan. This plan will also be reviewed and modified at the monthly Team meeting

Referral and Related Activities -In addition to the monthly Youth & Family Team meeting

• Responsible for coordinating and communicating with the Team to implement the strategies on the Action Plan.
• Works directly with the youth and identified family/natural supports to implement the Action Plan.
• Coordinates the delivery of available services, including educational, social or other services.
• Develops, in concert with the Youth & Family Team, a transition plan when the person has achieved the goals of the Action Plan. (Please note: successful graduation from the ICC process is considered to be 80% of youth and family goals are met.) The CC facilitates and encourages youth and family connections with other service providers and community support.

Process: Productivity/Service Hour

Care Coordinators - should be spending an average of 3 hours per week per family on their caseload. Care Management Entities will be tracking this monthly.

Caseload – an average caseload of 10 youth/families to 1 Care Coordinator is expected

Child & Family Team (CFTM) - CMEs are responsible for holding child and family team meetings monthly for each family and within 72 hours of each crisis or safety situation that occurs. At least one CFTM meeting per family must be held monthly or as needed. This must be appropriately documented. If there is a crisis or emergency situation, a CFT must happen within 72 hours.

Action Plans - AP’s must reference all required and applicable life domains, will include a 24 hr. Safety and Crisis Plan (SCP), will identify child/family strengths and needs, will identify formal and informal/natural/community supports, will be signed off by a the entire Child and Family Team and will acknowledge that the Child and Family Team was in attendance at the meeting and participated in the creation and/or revision of the AP.

Wraparound Progress Notes – Wraparound Progress Notes in the client records must be written in a manner that abides by the established standards/policy. The Formats for progress note documentation: D-A-P: Data, Assessment, and Plan

Minimum Qualifications:

High School diploma/GED and three (3) years of job-related experience in a social services-related position; or One (1) year of experience at the lower level Social Svcs Tech 2 (SST011) or equivalent position.

Preferred Qualifications:

• Bachelor’s degree in social services or closely related field from an accredited college or university.
• Two (2) plus years of experience specifically working with adults with severe & persistent mental illness & addictive diseases.
• At least 2 years’ experience providing care coordination in home services.
• Experience with Care Logic electronic health record system.
• Superior verbal and written communication skills.
• Experience working in a high stress, fast-paced environment with a very emotionally and physically changing population.
• Ability to multi-task and manage time.
• Knowledge of community resources within Savannah area.

Requirements/Competencies:

• Must be able to lift 20 pounds.
• Requires long periods of sitting/standing.
• Must have valid Georgia driver’s license and Motor Vehicle Record in accordance with company policy.
• Candidates for selection must pass a criminal background check (including fingerprinting).
• Must pass a pre-employment drug screen and subject to random drug screens.

Note: Some positions may require a valid driver's license.

Benefits (for qualified employees):

• State Health Benefits Package (medical, dental, vision, life insurance, disability, long-term care, legal services, flexible spending accounts)
• Paid New Hire Training
• Company contributes additional 7.5% of salary to 401(a) Retirement Plan
• No employee deduction for Social Security
• Additional benefits such as legal services, Employee Assistance Program and discounted tickets to attractions, shopping, technology, and travel
• Supervision, training, and continuing education opportunities available

View Point Health is an Equal Opportunity Employer:  View Point Health recruits qualified candidates for positions in View Point Health programs throughout its service area. It is the policy of View Point Health to provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination or harassment of any type without regard to race, color, sex, religion, national origin, age, disability, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.