Under the assigned CCS supervisor, the Care Coordination Support Worker provides community-based services to identified youth that are centered on Systems of Care and Wraparound services. CSSW plays a critical role in the community behavioral health service delivery system with the position ensuring that services are family-focused, youth-guided, individualized, strengths-focused and trauma-informed. Essential Duties and Responsibilities Targets youth identified in Pathways program by State of Illinois, HealthCare and Family Services Serves Pathways to Success eligible youth identified within CSS (Care Coordination) at Tier level CCSW (Care Coordination Services – High-Fidelity Wraparound) in line with the policies of program Provides service with an evidence-informed, structured approach to care coordination that adheres to procedures requirements regarding child and family engagement, individualized care planning, identifying and utilizing strengths and natural supports while completing fidelity measures/monitoring Assists in the integration of all services provided for the youth and family by serving as a central point of communications for service components in service delivery Collaborates with youth and families to identify both informal and formal supports to develop a Plan of Care and a Crisis Prevention Plan This position serves a caseload referred to Pathways to Success Tier level Wraparound. Caseloads vary based on referrals received and accepted services Positions require work in High Fidelity wraparound caseloads that are 10;1 with no more than 12 if there is identified need and approval Completes a strength-based assessment and required updates utilizing the IM CANS to identify both strengths and treatment target needs Facilitates and coordinates Child and Family Team Meetings (CFTM) at regular intervals, as required by policy Coordinates collaboration with all service providers to develop a comprehensive Plan of Care and Crisis Prevention Plan Ensures that care planning and decision-making processes uphold the values, preferences, beliefs, culture, and identity of the child, family, and their community Monitors progress toward goal achievement and the indicators of success per care plan and revises the plan, as needed Regularly discusses progress toward goals with client and encourages client feedback and client ownership of outcomes on a regular basis Improves client access to crisis supports and appropriate home and community based services to support behavioral health needs Assists team to adjust the Plan of Care, if movement toward goals is not happening Assists team to adjust the Crisis Prevention Plan, as needed and at regular intervals per policy Advocates for the youth and family, especially towards their needs being met in the least restrictive setting possible Implements services to avoid use of unnecessary use of inpatient psychiatric hospitalization, residential treatment, and emergency rooms Provides active guidance/feedback during family contacts (i.e., during crisis interventions and other crisis stability events) Completes intakes per program need Provides transportation for clients within program guidelines Provides training and education to caretakers where applicable Maintains highest ethical standards in keeping with professional affiliations and strength-oriented practice Plans and administers therapeutic interventions, when applicable Maintains comprehensive client file Provides support as needed during crisis and follow up services and at times may respond to Mobile Crisis Services, if youth experiencing crisis is currently engaged in services Represents agency at court hearings and attends required staffing meetings Adheres to Evidence Based/Informed program (ARC) Adheres to the fidelity of Wraparound facilitation, per job training, for CSSW staff Provide Family Support Program (FSP) and Specialized Family Support Program (SFSP) as needed Performs other related duties as assigned
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Job Type
Full-time
Career Level
Entry Level