SUD Residential Care Coordinator

332098 Cumberland River Behavioral Health•London, KY

About The Position

The Care Coordinator is a member of a multidisciplinary team providing services to adults in residential substance abuse treatment. The role provides assessment and crisis intervention and connects clients with needed services within and outside the CRBH system, including medical care, behavioral health, social services, housing, education, and employment resources. The coordinator completes intakes and transitions between levels of care and conducts continued reviews throughout each level of care. The position coordinates with clients’ existing medical, behavioral health, psychiatric, MOUD, and community providers; manages referrals, authorizations, appointments, and aftercare planning; and documents care coordination in the clinical record and treatment plan. It supports medication continuity and clinical stability, facilitates step-up or step-down transitions, and helps clients overcome barriers to services and recovery. The role works with a multidisciplinary team and may also work independently. It requires regular local, regional, and state travel. Work may take place outside the normal office location or at a residential program, and may involve occasional outdoor conditions and potential exposure to blood or other infectious materials. The position reports directly to the Program Director of the residential program.

Requirements

  • A minimum of a bachelor's degree in Psychology, Sociology, Social Work, Human Services, or a related field from an accredited school.
  • Experience with ASAM levels of care is required.
  • Submit to and pass a criminal background check and drug screening.
  • Possess an active, in-force driver's license; a valid Kentucky Driver’s License and a safe driving record are required if driving is necessary for job performance.
  • Oral and written communication skills.
  • Ability to exercise good judgment, tact, diplomacy, and compassion when problem solving or handling conflict or a crisis.
  • Ability to work effectively with diverse personalities and build and maintain positive working relationships with individuals of all races, backgrounds, and needs.
  • Knowledge of behavioral health concepts and their practical application, including recovery concepts for people with severe mental illness and substance use disorder.
  • Knowledge of ASAM levels of care, dimensions, and assessments.
  • Ability to meet the physical demands of reaching, pushing, pulling, stooping, bending, standing, walking, and lifting up to 20 pounds.
  • Attend annual infection control training.
  • Attend training on handling physical and verbal threats, acts of violence, and other escalating or potentially dangerous situations.
  • Meet annual performance evaluation requirements; a Performance Improvement Plan is initiated for negative evaluations, and employment may be terminated if the plan is unsuccessful after two attempts.

Nice To Haves

  • A master's degree in a Human Services field from an accredited school with licensure is preferred.

Responsibilities

  • Conduct initial screenings and intakes for residential clients entering SUD services at 3.5 and 3.1 levels of care.
  • Complete transitions between levels of care ranging from 3.5 to 1.0.
  • Manage and review MCO authorizations for each client.
  • Complete referrals to psychiatric, medical, social, educational, and other support services.
  • Identify clients’ current medical, behavioral health, psychiatric, MOUD, and community providers; obtain appropriate Releases of Information within 24 hours of admission.
  • Contact identified providers within 72 hours of admission to verify current services, medication regimens, and safety concerns.
  • Document care coordination activities in the clinical record and incorporate them into individualized treatment plans.
  • Track clients’ progress with concurrent providers through ongoing communication and review of recommendations and treatment status, incorporating relevant information into treatment plans and clinical records.
  • Maintain communication with prescribing providers for clients receiving MOUD or psychiatric medications to support medication continuity and monitor clinical stability.
  • Develop aftercare plans with clients before discharge, including resources and follow-up appointments.
  • Submit requested documentation to accepting providers, or documentation needed for aftercare referrals, within 72 hours of discharge.
  • Support appropriate step-up or step-down transitions and schedule follow-up appointments before discharge whenever possible.
  • Manage client appointments and communicate appointment details to staff arranging transportation.
  • Set up and manage client telehealth appointments and determine their outcomes.
  • Identify client needs and assist with engaging community resources to promote wellness and recovery and overcome barriers to services.
  • Respond to emergency situations in a timely manner.
  • Maintain ongoing communication with referring providers.
  • Provide warm handoffs when CCBHC clients are referred to partnering providers.
  • Provide crisis assistance and coordinate needed services.
  • Work effectively with multidisciplinary team members and independently when necessary.
  • Maintain documentation of services needed, referrals completed, and follow-up with clients and treatment providers.
  • Perform other duties as assigned.
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