Orients, enrolls, educates, and provides comprehensive care coordination services to eligible clients. As a member of the Care Team, the Care Coordinator is also responsible for the planning and coordination of all physical, behavioral, and support services for CareLink clients. In collaboration with MCOs, the Care Coordinator is responsible for researching, investigating, and reporting grievances, appeals, and critical incidents involving CareLink clients.
POSITION RESPONSIBILITES
Contacts clients identified within the HMS system, or referred by MCOs as potential CareLink clients, provides orientation and education about the services offers, and obtains their decision as to whether to opt-in or opt-out of the program. Conducts the Comprehensive Needs Analysis (CNA), and makes use of this to develop an initial, integrated service plan, as well as to determine the appropriate level of care coordination. Ensures that these determinations are communicated to MCOs through the BHSDStar system, and to HMS CareLink to enable appropriate service planning, tracking, and billing. Functions as the hub for the individualized care team developed in collaboration with the client, their natural supports, and informed by the CNA. Educates or trains peers in groups or individually on the hope and principles of recovery, the nature of the disorder, medications prescribed, etc. Works with CareLink clients to identify the factors most important to his/her own recovery and encourages participation in their treatment. Collaborates and coordinates with appropriate health professionals, the treatment team and the client/patient in providing correct information for clients with questions or concerns related to the nature of the disorder, the medications they are taking and participation in their treatment planning. Assists clients/patients in building community supports. Performs other care coordination duties as required. Attends recovery education orientation trainings which may include, for example: Wellness Recovery Action Plan (WRAP) Training, WRAP facilitator training, state sponsored trainings in leadership, consumer employment, etc. Understands and maintains HIPAA and 42CFR Part 2 confidentiality standards relative to Hidalgo Medical Services. Exhibits professional and caring manner with clients, patients and families. The delivery of quality services and positive interaction with all our customers, internal and external, is critical to the completion of all the tasks within this job description, and thus the employee is responsible for establishing and maintaining interpersonal relationships with patients, visitors and HMS employees in a courteous, respectful and professional manner. Guidelines include all HMS policies and procedures and the guidelines and code of ethics of any appropriate professional association. Performs and/or coordinates other special assignments and tasks, as required by the CareLink Clinical Director.
MINIMUM QUALIFICATIONS
Licensure as a Behavioral Health practitioner (e.g. Social Worker, Counselor, Marriage and Family Therapist); or Registered Nurse, with at least 2 years of relevant Behavioral Health experience; or Bachelor's degree in a relevant field and at last 2 years of relevant health care experience. Strong organizing skills. Experience working with both Seriously Mentally Ill adults and Seriously Emotionally Disturbed children.
Job Type:
Full-time Pay:
From $45,000.00 per year
Benefits:
401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance
