The Care Coordinator establishes and maintains professional relationships with individuals, families, referral sources, and community partners. The role completes initial and ongoing assessments in accordance with program, payer, and regulatory requirements; identifies risk factors such as suicidal or homicidal ideation; and ensures immediate intervention, documentation, and follow-up under organizational protocols. The coordinator uses standardized screening tools, including PHQ-9 and social determinants of health assessments, as required. The position coordinates services across healthcare, behavioral health, housing, employment, and social service systems. It facilitates communication among providers, natural supports, and community resources; schedules appointments; coordinates transportation to reduce barriers to care; participates in treatment team meetings and case reviews; and maintains timely, accurate, compliant documentation in the electronic health record. The Care Coordinator provides targeted case management and supportive interventions consistent with scope of practice, helps individuals navigate systems of care and adhere to treatment recommendations, promotes engagement and continuity of care, and advocates for access to appropriate services and resources. Work takes place in community-based settings, including client homes and partner locations, and requires frequent travel within the service area.
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Job Type
Full-time