The Care Coordinator establishes professional relationships with individuals, families, referral sources, and community partners, and completes initial and ongoing assessments in accordance with program, payer, and regulatory requirements. The role identifies risk factors, including suicidal or homicidal ideation, and ensures intervention, documentation, and follow-up in accordance with organizational protocols. Standardized screening tools, such as PHQ-9 and SDOH assessments, are used 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; and assists with transportation coordination to reduce barriers to care. The Care Coordinator participates in treatment team meetings and case reviews and maintains timely, accurate, and compliant documentation in the electronic health record. The role 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