Care Coordinator

Department: Clinical services
Job Title: Care Coordinator
Classification: Non-exempt

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Distinguishing Characteristics:

• Care Coordinators must be organized, personable, and capable of balancing the needs of multiple patients as well as their healthcare providers and insurance representatives to address barriers that will ensure the patient can navigate his/her recovery experience by demonstrating the following skills: active listening, service orientation, social perceptiveness, critical thinking, time management, active learning, good judgment and decision making, verbal communication skills, and ability to monitor for progress and needed interventional

Supervisor: Direct report to Regional Clinical Director/Operationally to Program Director

Supervision/ Competency Evaluations:

• Supervision and competency evaluations are provided through facility monitoring activities, direct observation, staff meetings, in-services, management meetings, individual meetings, Employee Improvement Process, reporting, interactions, strategic planning, outcomes, and annual competency

Physical, Emotional Demands and Work Conditions:

• Work is sedentary and ambulant occasional physical exertion (lifting 30 or more pounds, walking, standing, etc.) ability to support patient weight in case of emergency or disability requiring assistance.
• Must be able to see, stoop, sit, stand, bend, reach, and be mobile (whether natural or with accommodation). Quality of hearing (whether natural or with accommodation) must be acceptable.
• Must be able to communicate both verbally and in writing. Must be able to relate to, work with mentally and physically ill, disabled, emotionally upset, hostile patients as Must be emotionally stable and exhibit the ability to display coping skills to deal with multiple situations.
• Risk of exposure to infections, bloodborne pathogens, and other potentially infectious materials or contagious diseases. For this reason, “Universal Precautions” must always be followed. The Care Coordinator should understand, support, and comply with the established workplace violence, ADA, EEOC, and Corporate Compliance program and show a commitment to worker safety and health, and patient Subject to work schedule and shift changes.
• Tennessee: 1. Licensed or certified by the State of Tennessee as a physician, registered nurse, practical nurse, psychologist, psychological examiner, social worker, substance abuse counselor, teacher, professional counselor, associate counselor, or marital and family therapist or (with TDMHSAS waiver) Actively engaged in a recognized course of study or another formal process for meeting criteria above, and directly supervised by a staff person who meets criteria above, who is trained and qualified by education and/or experience.
• Virginia: Licensure by the Commonwealth as a registered nurse with (a) at least one year of substance use-related direct experience providing services to individuals with a diagnosis of substance use disorder or (b) a minimum of one year of clinical experience working with individuals with co-occurring diagnoses of substance use disorder and mental illness; or 2. Certification as a Board of Counseling Certified Substance Abuse Counselor (CSAC), CSAC-Assistant under supervision as defined in 18VAC115-30-10 et seq., or a graduate degree and corresponding state licensure in social work, psychology, psychiatric rehabilitation, sociology, counseling, vocational rehabilitation, or human services counseling.

Experience:

• 1 year of previous experience working with SUD/OUD/BH populations required
• Special Requirements: Knowledge in the disorder process of substance use disorders, dual diagnoses, opioid use disorder, and recovery support services

Licensure:
License/Certification:

• Tennessee: MD, DO, RN, LPN, Licensed PsyD, Licensed Psychological Examiner (LPE), LMSW, LCSW, LADACI, LADACII, LPC, LPC-MHSP, or LMFT
• Virginia: RN, CSAC, CSAC-R, CSAC-A, LMSW, LCSW, LPC, LMFT, Licensed PsyD

Tasks/Responsibilities: **

• The Care Coordinator will act as an integral member of the ReVIDA Recovery multidisciplinary team by supporting patients in obtaining their individualized goals, through building and strengthening of linkages with community resources and family members by deliberately organizing patient care activities and sharing information among all the participants concerned with a patient’s care to achieve safer and more effective
• The Care Coordinator will assist individuals in opioid use disorder treatment in developing a service plan, referrals, and linkage, ensuring the patient has access/continuity of care throughout the mental health and primary care system, ensuring each patient has resources to acquire medication, has transportation for appointments, and attends
• The Care Coordinator will ensure individuals have access to psychosocial rehabilitation, support, employment, and housing options while encouraging the individual to utilize community/natural supports to assist in the management of substance use

Essential Functions/Job Duties:

• Substance Use Care Coordination is supporting the patient’s medical, behavioral health, and other health care needs through the facilitation of necessary referrals to help meet the overall biopsychosocial needs of the This includes addressing needs beyond the patient’s medical status and includes issues such as unstable housing, food insecurity, childcare, and other social determinants of health. Referrals are be documented and tracked.
• Additionally, the Care Coordinator assists individuals in addressing any barriers to completing recommended referrals, such as transportation issues, and documents these interventions and
• Care coordination includes communicating the patient’s needs and preferences at the right time to the right people, by sharing and using the information in a secure manner and in a way that provides effective and comprehensive care to the patient.
• This role requires referrals to community programs and services and appropriately documenting and tracking referrals and outcomes. The Care coordinator collaborates and documents all efforts to help the member address any barriers to access of appropriate community-based referrals.
• Care Coordination includes the appropriate use of and facilitation of referral to a variety of community-based support modalities, including consideration of referral to 12 step and other self-help programs, peer recovery services, social service agencies, and other community-based resources appropriate to the member’s
• Organizes and participates in interdisciplinary care planning that consists of at least monthly meetings of the interdisciplinary treatment team (including all relevant medical and behavioral health care professionals involved in providing and coordinating the member’s care) and documents this collaboration appropriately.
• The Care Coordinator, in participating in the interdisciplinary treatment team meeting, will review the patient’s complete medical record (including urine drug screens and laboratory tests), discuss the current status of the patient’s progress toward meeting their goals as specified in their plan of care, assist in addressing any barriers toward the individual’s progress in meeting their identified treatment goals as well, as the actions which will be undertaken by the treatment team to address those
• The Care Coordinator will participate in the identification of any new problems and/or goals and modification of the IPOC action plan Other duties, as assigned.

Continuing Education & Professional Licensing/Certification Requirements:

• Employee is expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, the employee is expected to accept personal responsibility for other educational activities to enhance job-related skills and Employees must attend mandatory educational programs and maintain their current professional license, in good standing.

Location: 300 Valley Street Northeast, Abingdon, VA 24210

Job Type: Full-time