Care Coordinator I/II, Enhanced Care Management

Stanford Sierra Youth & Families•Sacramento, CA

20h•Hybrid

About The Position

The Care Coordinator I/II, Enhanced Care Management position involves assessing client needs in various areas including physical health, mental health, SUD, oral health, trauma-informed care, social supports, housing, vocational/employment, and wellness. The role requires developing and implementing Individual Care Plans/Health Action Plans, offering services in accessible locations (office-based, telehealth, or field-based), and connecting clients to necessary social services and support groups. The Care Coordinator will also advocate on behalf of the client with healthcare professionals, utilize evidence-based practices like Motivational Interviewing, Harm Reduction Techniques, and Trauma-Informed Care principles, and collaborate with hospital staff on Transitional Care Planning. Additionally, the position involves conducting outreach and engagement activities, accompanying clients to appointments, evaluating progress, arranging transportation, completing documentation, and attending team meetings and assigned training.

Requirements

Care Coordinator I: High School Diploma or equivalent AND 2 years’ experience providing community engagement, community resources/linkage, or direct service support to youth & families
Care Coordinator I: AA Degree in social service, psychology, juvenile justice, sociology, child development or health/human services related field AND 1 year experience providing community engagement, community resources/linkage, or direct service support to youth & families
Care Coordinator II: Bachelor’s degree in social service, psychology, juvenile justice, sociology, child development or health/human services related field AND 1 year experience providing community engagement, community resources/linkage, or direct service support to youth & families

Nice To Haves

Spanish Speaking Preferred

Responsibilities

Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma-informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.
Collaboratively develop and implement the Individual Care Plan/Health Action Plan.
Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.
Connect clients to other social services and support that are needed (e.g., community support group).
Coordinate/advocate on behalf of the client with health care professionals (e.g., Primary Care Physician, Health Specialists, Mental Health Providers, etc.).
Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction Techniques, and Trauma-Informed Care principles.
Work collaboratively with hospital staff regarding Transitional Care Planning.
Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.
Accompany clients to office visits, as needed and appropriate.
Evaluate progress and update goals.
Arrange transportation.
Complete all documentation within the timeframes established by the individual action plans.
Attend weekly staff/team meetings and supervision.
Attend training as assigned (e.g., ACEs Certification).
Perform all duties in a manner consistent with the principles and values of agency, while adhering to applicable professional codes of ethics, the agency’s policies and procedures, contractor requirements, and regulatory requirements.
Model and communicate appropriate positive attitudes toward the agency’s Mission, Vision, and Values.
Work collaboratively with all agency programs and staff to provide support as needed.
Utilize and maintain calendar with all work-related details in order to manage time effectively and share calendar information with coworkers.
Participate in on-going training to expand and develop professional skills.
Perform other duties as necessary for the agency, as assigned.