Worcester, MA, USA Req #3651 Tuesday, August 6, 2024
Location: Greater Worcester area - Behavioral Health Partners Metro West
Schedule: Monday-Friday, 8:30am-5:00pm (some early mornings may be required)
Pay rate: $$
Benefits:
* Paid time off
* 401k with company contribution
* Discounts on a wide array of services/entertainment
Qualifications:
* BA/BS degree in a field related to human services with a minimum of 1 year of experience or High School diploma/GED with a minimum of 3 years of experience working with adults in community-based and/or medical settings.
* Must attend annual mandatory in-service and education programs.
* Spanish speaking is preferred but not required.
* Strong computer skills proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies.
* Ability to openly address and acknowledge issues of substance use and mental illness.
* Knowledge regarding psychiatric rehab and/or substance use and understanding of the recovery model.
* Must be able to perform each essential duty satisfactorily.
* Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.
* Must hold a valid driver's license. Must have access to an operational and insured vehicle and be willing to use it to transport members.
The Care Coordinator is responsible for:
* Utilizing effective, dignified, empowering, and creative engagement strategies to ensure Enrollees are at the center and lead in their BHCP services.
* Conducting outreach and engagement activities with Assigned Enrollees and engaging them in enrolling in the BHCP program.
* Completing comprehensive assessments in a collaborative manner with Engaging Enrollees, under the supervision of the Clinical Care Manager, and with input from Care Team members and other stakeholders. Conducting annual re-assessments.
* Developing a person-centered treatment plan with each Engaged Enrollee, under the supervision of the Clinical Care Manager, and with input from Care Team members and other stakeholders.
* Updating the treatment plan according to required timeframes.
* Developing advanced directives, acute care plans, and/or crisis plans with Engaged Enrollees as needed.
* Working with Engaged Enrollees to assemble Care Teams and facilitate all communication and coordination with the team.
* Supporting Engaged Enrollees during care transitions including attendance at discharge planning meetings, face-to-face meetings post-discharge, ensuring linkages with all needed services and supports, and facilitating Enrollee participation in those services.
* Assisting the RN with medication reconciliation functions as required, such as information collection.
* Providing health and wellness coaching to Engaged Enrollees and assisting them in identifying and utilizing health and wellness supports in the community.
* Connecting Engaged Enrollees to all needed services and supports including those that address social needs that affect health. Facilitate ongoing connection.
* Collaborating with existing providers, Care Team members, state agency staff, and all other stakeholders and delivering CP supports and activities in accordance with Enrollee’s person-centered treatment plan.
Spectrum Health Systems is an equal opportunity at-will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation, or national origin.
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