SUMMARY OF RESPONSIBILITIES

This is a professional position that provides short term Care Coordination services to assist the identified High Need High Utilizer clients with linkage to services and supports they need to successfully transition from higher levels of care to community-based care.

MINIMUM QUALIFICATIONS

This position requires at least one year experience working with the severe and persistent mentally ill population. A minimum of a HS diploma or GED equivalent required. Bachelor's Degree preferred.

ESSENTIAL DUTIES/RESPONSIBILITES

Engage the individual in their current setting, (e.g., crisis stabilization unit (CSU), SMHTF, homeless shelter, detoxification unit, addiction receiving facility, etc.) Develop a care plan with the individual based on shared decision making that emphasizes self-management, recovery and wellness, including transition to community based services and/or supports. Provide frequent contact for the first 30 days of services, ranging from daily to a minimum of three times per week. Establishes relationships with community agencies and resources Makes appropriate referrals and link clients with appropriate services, treatment providers, and resources Monitors client's treatment and progress toward established goals Advocates for the needs of the clients Documents all activities including progress or lack of progress of the case plan goals in progress notes in accordance with CBH policy and contractual guidelines Computer Literacy Completes all training requirements in a timely manner Completes all other duties and special projects as assigned