The Care Coordinator establishes professional relationships with individuals, families, referral sources, and community partners; completes initial and ongoing assessments; and identifies risk factors such as suicidal or homicidal ideation, ensuring intervention, documentation, and follow-up under organizational protocols. The role uses standardized screening tools, including PHQ-9 and social determinants of health assessments, as required. The Care Coordinator coordinates services across healthcare, behavioral health, housing, employment, and social service systems; facilitates communication among providers, natural supports, and community resources; schedules appointments; and assists with transportation coordination. The role also participates in treatment team meetings and case reviews and maintains timely, accurate, compliant documentation in the electronic health record. The position provides targeted case management and supportive interventions consistent with scope of practice, helps individuals navigate care systems and adhere to treatment recommendations, promotes continued 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