* * *Job Description-Care Coordinator/Case Manager *

Position Title: Care Coordinator/Case Manager 

Job details: Part-time (This position has the potential to transition to full-time status within a few months) 

Schedule: Flexible 

Pay: $18-23/hr. Depending on experience and/or education 

Location: hybrid/remote (home office and in-person) 

Reports to: Program Director/Clinical Supervisor  

Works in collaboration with: Operations Director, Support Services Supervisor, Customer Service, and other professionals across inter and intra organizations (therapists, case managers, skills counselors, primary care physicians, nursing staff, billing, etc.)  

Position Summary  

The Care Coordinator will work with other dedicated professionals who share their passion for helping families in need.  The Care Coordinator is responsible for assisting community members to maintain access to needed medical, social, educational, and other services. Including, playing the role as a liaison for inter-agency referrals, community referrals, with the main role of clients receiving services according to the level of care and to avoid duplication of services and prevent higher levels of care. The overall goal of the service is not only to help maintain and access needed services, but to ensure that services are coordinated among all agencies and providers involved. This means that the client's needs and preferences are known and communicated at the right time to the right people, an d that this information is used to guide the delivery of safe, appropriate, and effective care.  

The Care Coordinator will use a Continuum of Care model and have knowledge of the 6 critical core functions of Case Management to ensure access to ongoing needs, support and recovery. Patient Identification and Eligibility, Assessment, Care Planning, Implementation, Monitoring, Transition and Discharge.  

Position Title: Care Coordinator  

The Care Coordinator ensures patient navigation is implemented by managing client caseloads, conducting eligibility assessment and reassessment, and access and coordination to services.  

 Qualifications 

Required Qualifications: 

• Ability to manage large caseloads to ensure proper transfer of cases is done in a timely manner 

• Good communication and interpersonal skills and ability to speak concisely to clients, and interact with Care Team members  

• Strong knowledge of mental health and social services resources   

• Ability to organize confidential information, appointment tracking, and caseloads  

• Ability to build relationships with different types of people, including clients and their parents and members of the health care team  

• Must be knowledgeable of social services practices, procedures, laws, regulations and guidelines governing long-term care. 

• Must be able to work independently while maintaining accountability of administrative and direct services responsibilities and duties. 

• Strong work ethic and service skills 

• Excellent organizational skills and attention to detail 

• Basic computer literacy skills 

• Strong record-keeping and analytical skills 

   

Preferred Qualifications: 

• Two years or more of Case Management or Social Work experience 

• Certified as Adult and Child Case Manager 

• Certified Peer Support Specialist/Family Support Specialist 

• Bachelor's Degree from accredited school in Social Work or related field or High School  

• Bilingual in Spanish preferred but not required 

   

   

   

   

   

   

   

Administrative Responsibilities and Duties: 

• Documents client services in agency records  

• Establishes and retain client referral systems from care coordination systems  

• Maintains documentation of all client encounters and complete reporting requirements according to organization standards  

• Tracks client information, schedules, files, and forms in a confidential manner  

• Attends and represent the organization at professional conferences, in-service trainings, and meetings at the request of or with the approval of supervisor  

• Conducts quality assurance and monitoring activities for service delivery and documentation  

• Maintains appropriate number of weekly billable hours for direct services provided. 

• Maintains compliance with CU requirements for certifications held. 

• Attends all staff, training and management meetings. 

• Collects data and completes reports necessary to meet contractual requirements. 

• Ensures required services documentation is accurately completed in a timely manner. 

   

Direct Services Responsibilities and Duties: 

• Facilitates client's case reviews to ensure eligibility to maintain access to health care services 

• Provides on-going information to all care team members including peer support, mental health counselors, skills counselors and administrators to discuss client's care plan  

• Conducts Needs assessment, treatment planning, and reassessment services  

• Reviews patient cases with supervisor, customer service, and other departments supervisors to advice on direction and support as needed  

• Initiates outreach of missed appointment and balances as necessary to ensure continuation of services  

• May meet with client along with Peer Support after appointments to review and update care plan.  

• Screens clients for eligibility for mental health services and refer clients to needed services, such as mental health, housing, crisis, and employment assistance 

• Assesses clients to determine service needs, including activities that focus on needs identification, to determine the need for any medical, educational, social, or other services.   

• Develops a written, individualized, and coordinated case management service plan based on the information collected through an assessment that specifies the goals and actions to address the medical, social, educational, and other services needed by the client, with input from the client, the client's authorized health care decision maker, and others (e.g., the client's family, other agencies, etc.) 

• Conducts referral and related activities to help the client obtain needed services, including activities that help link the client with medical (including mental health and substance use disorder), social, educational providers or other programs and services that can provide needed services. 

• Assists the client to establish and maintain eligibility for entitlements other than Medicaid. 

• Coordinates the delivery of services to the client by establishing appropriate internal referrals within MCC treatment team and third-party agencies.  

• Maintains a community referral contact list and updates as needed. 

• Monitors the client's progress and continued need for services.