Care Coordinator - Re-Entry Services

Greater Lawrence Family Health Center•Lawrence, MA

10d

About The Position

Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a bilingual Care Coordinator for the Recovery Based Re-Entry Services for Black and Latino Men Program to join our Community Support Services Team. The Care Coordinator is responsible for comprehensive and culturally-responsive care coordination and linkages to care. In addition, the Care Coordinator will apply his/her knowledge of community resources and culture to assist the primary care team in fully assessing, identifying and engaging service planning of post-released individuals from House of Corrections (HOC) to reduce relapse and recidivism. Engagement will preferably begin 6 months prior to the client’s release date, if time allows, in collaboration with the House of Correction and other relevant stakeholders. Creates individual service plans (ISP) Facilities community reintegration (i.e., peer support groups, re-entry clinics, social activities, job fairs, skills trainings, etc.) Provides information and orientation about available community services and resources and assists clients in determining eligibility and obtaining services. Provides low threshold interventions to active substance users and drug users (IDUs) and coordinates detoxification services. Is and remains up-to-date knowledge on trauma informed care, opioid overdose prevention, Medication for Opioid Use Disorder and Culturally Appropriate Services and community resources. Provides clients with linguistic services, support and assistance in meeting relevant community agency requirements by helping complete agency forms, applications, translating and responding to requests for other information or documents. Delivers or assertively links individuals to appropriate and culturally-humble services within the Greater Lawrence Family Health Center and provide support and resources throughout the process. Understands program performance requirements and implements strategies for achieving performance metrics

Requirements

Valid Massachusetts Driver’s license and reliable transportation
Able to communicate effectively verbally and in writing
Ability to handle multiple tasks and prioritize assigned duties
Demonstrated computer skills (Microsoft Outlook, Excel and Word)
Strong communication skills, both interpersonal and well-written documentation
Strong sense of professionalism and boundaries
Takes initiative, strong problem-solving abilities, attention to detail, ability to follow-through; excellent communications abilities; able to work under pressure, meet inflexible deadlines, and set priorities
Knowledge of recovery systems, substance use disorder, treatment facilities, and Naloxone education
Experience working with priority population including Persons Who Inject Drugs, Substance Use Disorder, and incarcerated individuals
Strong knowledge of substance use, HIV, STI’s, and HCV and its transmission and prevention and community resources
Bilingual, bicultural (Spanish/English) required

Nice To Haves

Two years’ experience in similar or related field preferred
Experience in community-based service delivery preferred
Degree in Human Services or Public Health preferred or combination of education and experience will be considered
Community Health Worker Certificate or must complete within 12 -18 months of hire
Recovery Coach certificated preferred or must complete within 12-18 months of hire

Responsibilities

comprehensive and culturally-responsive care coordination and linkages to care
apply his/her knowledge of community resources and culture to assist the primary care team in fully assessing, identifying and engaging service planning of post-released individuals from House of Corrections (HOC) to reduce relapse and recidivism
Engagement will preferably begin 6 months prior to the client’s release date, if time allows, in collaboration with the House of Correction and other relevant stakeholders
Creates individual service plans (ISP)
Facilities community reintegration (i.e., peer support groups, re-entry clinics, social activities, job fairs, skills trainings, etc.)
Provides information and orientation about available community services and resources and assists clients in determining eligibility and obtaining services
Provides low threshold interventions to active substance users and drug users (IDUs) and coordinates detoxification services
Is and remains up-to-date knowledge on trauma informed care, opioid overdose prevention, Medication for Opioid Use Disorder and Culturally Appropriate Services and community resources
Provides clients with linguistic services, support and assistance in meeting relevant community agency requirements by helping complete agency forms, applications, translating and responding to requests for other information or documents
Delivers or assertively links individuals to appropriate and culturally-humble services within the Greater Lawrence Family Health Center and provide support and resources throughout the process
Understands program performance requirements and implements strategies for achieving performance metrics