Treatment Care Coordinator

The Centers•Cleveland, OH

1d•$55,180 - $62,460

About The Position

Reporting to the East Clinical Director, the AOT Care Coordinator provides collaborative oversight of the agency’s Assistant Outpatient Treatment (AOT) program. The coordinator serves as a key link between referring hospitals, agency staff, and probate court to coordinate client care. The role includes completing mental health assessments for people referred to the AOT program and providing ongoing clinical counseling. The coordinator works with hospital systems to support the AOT referral process, coordinates client transitions after discharge, and collaborates with the Cuyahoga County probate court, its AOT liaison, Center case managers, psychiatry staff, and other internal staff. The position also coordinates treatment team meetings and helps ensure clients receive timely follow-up and do not fall through gaps in care. This position supervises Behavioral Health Specialist positions in coordination with the Program Manager. The job operates in a professional office environment. Travel and work outside normal hours may be required for meetings, presentations, trainings, and other events. The job description may be reviewed and changed according to organizational needs.

Requirements

Master’s degree in social work.
Active LSW license in the state of Ohio.
Experience working with clients with SPMI.
Developed knowledge of mental illness, substance use disorders, therapeutic modalities, and relevant community resources.
Strong clinical intervention skills and the ability to maintain accurate, appropriate records and documentation.
Ability to communicate clearly and adapt language to the audience and situation.
Ability to organize and prioritize work and set short- and long-term goals and strategies.
Ability to collaborate with team members, maintain open communication, contribute to shared goals, and ask for help when needed.
Ability to adapt to changes in processes and use new technology to improve efficiency or work quality.
Ability to speak and hear; frequently sit for extended periods, stand, walk, use hands and fingers, and reach with hands and arms.
Ability to travel and work outside normal hours when required for meetings, presentations, trainings, and other events.

Responsibilities

Work with hospital systems to explain the AOT process and effective workflows for accessing internal services.
Coordinate hospital referrals to AOT and schedule and complete mental health assessments on hospital units.
Ensure required releases of information are completed to support care coordination after discharge.
Stay in contact with hospital staff about discharge dates and locations, and obtain hospital discharge paperwork.
Complete a follow-up appointment with each AOT client within seven days of hospital discharge, monitor mental health status, and educate clients about the AOT program.
Work with Cuyahoga County probate court and its AOT liaison.
Update the AOT liaison about enrollment in Center programs and case management assignments after mental health assessments.
Coordinate Center case managers and the AOT liaison to schedule and complete monthly status hearings for AOT clients.
Track and maintain awareness of AOT clients’ expiration dates.
Coordinate with psychiatry staff to submit recommitment letters at least 10 days before expiration dates, then coordinate recommitment hearings with Center staff and probate court.
Coordinate and conduct treatment team meetings when recommitment to AOT is uncertain.
Collaborate with internal staff serving AOT clients to help prevent clients from falling through the cracks.
Help provide timely outreach to clients who miss appointments with their care teams.
Collaborate with local police districts when probate court submits orders of detention to support timely issuance.
Provide mental health counseling using evidence-based and trauma-informed approaches.
Supervise Behavioral Health Specialist positions in coordination with the Program Manager.