"Alerted.org

The HH+ Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to a caseload of severely mentally ill adults with multiple medical co morbidities and/or co-occurring substance abuse disorders. HH+ Care Coordinators advocate for and support the client, engage with community agencies/health care providers and others on his/her behalf to ensure access to services needed to increase wellness self-management and reduce emergency room visits and/ or hospitalizations.

+ Conduct appropriate screening and either performing or arranging for more detailed assessments when needed (e.g., high-risk substance use or mental health related indicators, harm to self/others, abuse/neglect and domestic violence).

+ Navigating the mental health service system-including ability to make referrals to mental health housing services, crisis intervention/ diversion, peer support services

+ Collaborates with inpatient staff and MCO (as applicable) to affect successful transitions out of inpatient or institutional settings

+ Conduct hospital visits for clients admitted for inpatient psychiatric treatment

+ Share and collaborate discharge summaries with outpatient care teams

+ Addressing the quality, adequacy and continuity of services to ensure appropriate support for individuals' mental health and psychosocial needs.

+ Maintain engagement with individuals who are often disengaged from care, have difficulty adhering to treatment recommendations, or have a history of homelessness

+ Develop service plans and resolve barriers to effective service utilization.

+ Accompany clients to/from any appointments when needed.

+ Document service information in databases and use electronic systems to track participant activities.

+ Assist in crisis intervention and provide or refer to crisis services.

+ Extensive field work required, including home visits and community work such as visiting hospitals and emergency rooms when determined necessary.

+ Assist with applications for entitlements such as (but not limited to): SNAP, SSI/SSD, HEAP

+ Ensure that clients follow-up with aftercare discharge (i.e. fill prescriptions, make appointments).

Skills and/or Experience Required:

+ For B.A. level candidates, two (2) years OR for M.A. level candidates, one (1) year of related experience working with individuals with severe mental illness.

+ Ability and willingness to regularly travel, in some instances with clients in Agency vehicles to many locations using various modes of reliable and safe transportation

+ You must have excellent interpersonal and time management skills.

+ Proficiency in email and documentation on electronic platforms.

+ Comfortable with fieldwork and navigating social services systems.

Preferred:

+ Knowledge of Medicaid, Social Security and other entitlements

+ Bilingual /Spanish a plus

+ Bilingual /Creole a plus

Benefits

+ Competitive Salary

+ Medical/Dental

+ 401k (with company match)

+ Profit Sharing

+ Employee Referral Program

+ Supplemental Benefits

+ Paid Time off

+ Holidays