Care Coordinator, CCBHC

Thresholds•Chicago, IL

22d

About The Position

The Care Coordinator, CCBHC, collaborates with the CCBHC Outpatient team to coordinate referrals and linkages that help members navigate and access services. The role supports members through community outreach and case management to improve health and recovery outcomes and maintains quality data tracking and reporting in alignment with CCBHC requirements. The Care Coordinator helps members access healthcare services and community resources, supports continuity of care and progress toward recovery goals, and addresses social determinants of health. Case management may include assistance with benefits, housing, food, education, transportation, childcare, legal support, appointments, and other resources. The position also conducts outreach, follows up with members and collateral providers, identifies care gaps and barriers, advocates for members, maintains electronic health records, communicates pertinent member information, develops relationships with community providers, participates in caseload consultations, links members to supported employment, and completes NOMS reporting. The role requires at least a high school diploma and two years of mental health and/or community engagement experience. A current valid driver’s license and daily access to a personal vehicle are required. The employee must maintain specified auto insurance and may need to transport program members in a personal vehicle. Flexible schedules, including evenings or weekends, may be required.

Requirements

High school diploma or GED and at least two years of mental health and/or community engagement experience.
Ability to document services in an Electronic Health Record in a timely manner.
Daily access to a personal vehicle.
Must obtain and maintain $100,000/$300,000/$100,000 bodily injury and liability insurance, subject to validation every six months.
Must be at least 23 years old and meet all insurance carrier requirements.
Current and valid driver’s license.
Must meet the applicable minimum education and experience requirements; the posting lists a high school diploma or GED with five years of supervised clinical experience, a bachelor’s degree in Psychology, Social Work, or a related field, or a bachelor’s degree in an unrelated field with two years of supervised clinical experience as qualifications.

Nice To Haves

Mental Health Professional designation meeting Office of Mental Health Rule 132 credential requirements.
Experience working with persons diagnosed with mental illness.
Experience engaging with the community to promote services.
A master’s degree in social work, counseling, or a closely related field as a Qualified Mental Health Professional.

Responsibilities

Monitor and facilitate members’ access, engagement, and linkage to healthcare services and resources.
Provide phone and in-person case management to connect members with external healthcare providers and community resources.
Support continuity of care, progress toward recovery goals, and the addressing of social determinants of health.
Conduct community outreach to link members with mental health, physical health, substance use services, and other resources.
Follow up with collateral providers to improve continuity of care.
Contact members who miss appointments to identify and address barriers to care.
Identify gaps in care and arrange timely resolutions, helping members overcome obstacles to outpatient care and resources.
Attend and participate in team and branch meetings.
Document member care and related communications in the electronic health record according to applicable requirements.
Establish and oversee communication of pertinent member information and status reports to designated Thresholds and community healthcare providers.
Advocate for members who may be vulnerable or need additional support.
Develop relationships with community providers through networking meetings, agency visits or contacts, and information fairs.
Participate in scheduled caseload consultations.
Identify and link members to the Thresholds Supported Employment IPS program and assist with applications for financial or medical benefits.
Complete and timely submit National Outcome Measures (NOMS).