Care Coordinator, CCBHC

Thresholds•Chicago, IL

3h•$52,000 - $63,000

About The Position

The Care Coordinator, CCBHC (Certified Community Behavioral Health Clinic), works in collaboration 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 the quality of data tracking and reporting in alignment with CCBHC requirements. The Care Coordinator monitors access, engagement, and linkage to healthcare services and resources; provides case management by phone and in person; connects members with external healthcare providers and community resources; and helps address barriers and social determinants of health. The role also supports continuity of care through follow-up with collateral providers, identifies and resolves gaps in care, advocates for members, documents services in the electronic health record, and completes and submits National Outcome Measures (NOMS) in a timely manner.

Requirements

At least a high school diploma or GED.
At least two years of mental health and/or community engagement experience.
Ability to document services provided 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.
If providing member transportation, must be at least 23 years old and meet all insurance carrier requirements; driver’s license is subject to annual Department of Motor Vehicles verification.
Current and valid driver’s license.

Nice To Haves

Mental Health Professional designation meeting Office of Mental Health Rule 132 credential requirements.
High school diploma or GED and five years of supervised clinical experience as a pathway to the Mental Health Professional designation.
Bachelor’s degree in Psychology, Social Work, or a related field.
Bachelor’s degree in an unrelated field and two years of supervised clinical experience.
Qualified Mental Health Professional designation, including a master’s degree in social work, counseling, or a closely related field.
Experience working with people diagnosed with mental illness.
Experience engaging with the community to promote services.

Responsibilities

Monitor and facilitate members’ access, engagement, and linkage to healthcare services and resources.
Provide phone and in-person case management, referrals, and linkages to external healthcare providers and community resources to support continuity of care, recovery goals, and social determinants of health.
Provide community outreach to connect 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 in accordance with state, federal, and Thresholds requirements.
Establish and oversee a process for communicating pertinent member information and status reports to designated Thresholds and community healthcare providers.
Advocate for members who are vulnerable or need additional support.
Develop relationships with community providers by attending networking meetings and information fairs and visiting or contacting agencies.
Participate in regularly scheduled caseload consultations, including discussions of members who are new to treatment, difficult to engage, or not improving as expected.
Identify and link members to the Thresholds Supported Employment IPS program and assist with applications for financial and/or medical benefits.
Complete NOMS (National Outcome Measures) and submit them in a timely manner.
May be required to work flexible schedules, including weekends or evenings as required.
May provide transportation for program members using a personal vehicle.