Care Continuum Coordinator

VitalCore Health Strategies • Middleton, MA

2d • $0 - $44 • Onsite

About The Position

VitalCore Health Strategies is hiring a full-time Care Continuum Coordinator at Essex County Correctional Facility in Middleton, Massachusetts. The coordinator plans, conducts, and implements discharge planning for patients in the MAT Program, communicates with facility staff and community resources, and maintains accountability for services provided. The role supports patients with Substance Use Disorder (SUD) as they prepare for release and transition to community services.

The position requires a bachelor’s degree in social work or a closely related field, experience developing successful transition plans involving community resources for people with SUD, and case management experience in a human service agency. The employee must maintain CPR certification and any other certifications required by contract, and must have a satisfactory background investigation report.

Requirements

• Bachelor’s degree in social work or a closely related field from an accredited college or university.
• Previous experience developing successful transition plans involving community resources for people with Substance Use Disorder.
• Experience in case management at a human service agency.
• Maintain CPR certification and any other certifications required by contract.
• Satisfactory background investigation report.

Responsibilities

• Plan and provide discharge planning for patients receiving MAT services in accordance with applicable policies and procedures.
• Build and maintain relationships with community agencies that serve people with SUD.
• Coordinate with child protective services (DCF) regarding housing and resources.
• Follow facility security regulations, including requirements concerning limits of confidentiality and patient information.
• Identify release-planning needs of patients receiving MAT services.
• Help patients schedule appointments with community resource agencies to continue services.
• Coordinate with agencies serving MAT patients to develop residential placement options.
• Maintain positive working relationships with unit team staff, institutional parole officers, re-entry case management, the mental health department, and other facility staff involved in release planning.
• Document services in the health record, including contacts with community providers or parole staff after a patient’s release.
• Maintain logs of post-release follow-up contacts when required by contract.
• Develop a list of housing resources and help patients identify appropriate housing.
• Facilitate transportation applications as needed.
• Track patient release dates and upcoming court appearances.
• Attend treatment team meetings to support release planning and a team approach.
• Participate in staff meetings and in-service training for MAT services.
• Attend relevant community-based release-planning meetings as directed by the Clinical Supervisor or Mental Health Director.
• Comply with facility employee standards, including maintaining a professional work environment and appearance, developing positive working relationships, and notifying supervisors promptly of absences.
• Maintain proficiency with required software, particularly clinical documentation in the designated electronic health record system.
• Provide education and ensure that MAT patients are offered access to Naloxone at release whenever possible.
• Perform other duties as assigned.

Benefits

• Holiday pay for New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day
• Medical insurance
• Dental insurance
• Vision insurance
• Health Savings Account
• Life insurance
• Short-term and long-term disability
• Identity theft protection
• Pet insurance
• Employee Assistance Program and Discount Center
• 401(k) and plan matching
• Paid time off (PTO)
• Annual incentive bonus
• Dependent Care Flexible Spending Account

What This Job Offers

• Job Type: Full-time