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About the Role

The Care Coordinator is a vital member of a multi-disciplinary team, providing essential services to adults in residential substance abuse treatment. This role involves assessment, crisis intervention, and connecting individuals with necessary services both within and outside the CRBH system. The Care Coordinator plays a key part in identifying and coordinating services to address a wide range of needs, including medical, behavioral health, social services, housing, education, and employment, by linking clients to all available resources. Additionally, the role includes completing intakes, managing transitions between levels of care, and conducting ongoing reviews.

Responsibilities

Conduct initial screenings and intakes for residential clients entering SUD services for 3.5 and 3.1 levels of care.
Complete transitions between levels of care ranging from 3.5 to 1.0.
Manage MCO authorizations for each client.
Conduct reviews for authorizations for each client.
Complete referrals to psychiatric, medical, social, educational and other support services.
Identify all current medical, behavioral health, psychiatric, medication-assisted treatment (MOUD), and community providers involved in the client’s care and obtain appropriate Releases of Information within 24 hours.
Initiate contact with identified providers within 72 hours of admission to verify current services, medication regimens, and any safety concerns.
Document care coordination activities in the clinical record and incorporate them into the individualized treatment plan.
Track client's progress with concurrent providers through ongoing communication, review of recommendations and treatment status, and incorporation of relevant information into the client's treatment plan and clinical record.
Maintain communication with prescribing providers for clients receiving MOUD or psychiatric medications to support medication continuity and monitor clinical stability.
Develop aftercare plans with clients prior to discharge, including resources and follow-up appointments.
Submit all needed documentation to accepting providers when requested or if completing a referral for aftercare plan, within 72 hours of discharge.
Support appropriate step-up or step-down transitions in care and ensure follow-up appointments are scheduled prior to discharge whenever possible.
Manage appointments for clients and communicate them to necessary staff for arrangement of transportation.
Manage telehealth appointments for clients, including setup and outcome determination.
Identify client needs and assist in engaging community resources to promote wellness and recovery and overcome barriers to accessing needed services.
Respond to emergency situations in a timely fashion.
Maintain ongoing communication with referring providers.
Provide warm hand off when CCBHC clients are referred to a partnering provider.
Provide crisis assistance to the consumer and coordinate any needed service.
Demonstrate the ability to work effectively with other team members, as part of a multidisciplinary team, and independently, when necessary.
Maintain documentation of services needed, referrals completed, and follow up with both client and treatment providers.
Other duties may be assigned.

Requirements

Submit to and pass a criminal background check and drug screening.
Successful Performance Evaluation on an annual basis.
A Performance Improvement Plan will be initiated on all employees who have a negative performance evaluation.
An employee will be terminated if the Performance Improvement Plan is viewed as unsuccessful after 2 attempts.

Skills

Oral and Written Communication Skills
Ability to exercise good judgment, tact, diplomacy and compassion when problem solving, handling conflict or a crisis
Ability to work effectively with diverse personalities and to build and maintain positive working relationships with individuals of all races, backgrounds and needs
Knowledgeable of Behavioral Health Concepts and how to incorporate concepts into practical application including Recovery Concepts for persons with severe mental illness and substance use disorder
Knowledgeable about ASAM levels of care, dimensions, and assessments
Physically able to reach, push, pull, stoop, bend, stand, walk and lift up to 20 pounds
Possess a valid Kentucky Driver’s License and maintain a safe driving record if required for job performance.
Local, regional and state travel required on a regular basis.
Active, in force driver’s license required.

Location

Off-site from normal office location
Residential Program

Work Type

Full-time

Experience Level

Experience with ASAM levels of care required.

Education Level

Bachelor’s degree in Psychology, Sociology, Social Work, Human Services or related field from an accredited school
Master’s Degree in Human Services field from an accredited school with licensure is preferred.

About the Company

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation will be made to enable the individual with disabilities to perform the essential functions.
While performing the duties of this job, the employee occasionally works in outside weather conditions, maybe off-site from normal office location or placed at a Residential Program.
The noise level in the work environment is mild to moderate.
Position may require duties to include routine or reasonable anticipated tasks or procedures where there is a degree of actual or potential exposure to blood or other infectious materials. Annual infection control training required.
All new staff must attend training regarding handling physical, verbal threats, acts of violence or other escalating and potentially dangerous situations.