Care Coordinator - St. Augustine, United States - Flagler Health+

Description

The Care Coordinator develops and implements individualized treatment plans, observes and documents client response
to interventions, and provides therapeutic support for patients and their families (mediation, locating resources, and
providing mental health education). The Care Coordinator plays a leading role on the patient's integrated treatment team
serving as the initial contact for individuals admitted, through completion and discharge of the Partial Hospitalization
Program/Intensive Outpatient Program.

Essential Responsibilities

• Manage targeted population daily census. Meet with patient and caregiver/family to establish rapport and engage in transitional case management status.
• Assess adequacy of discharge plan and risk associated with compliance. Assess patient's motivation to change and family resources for support.
• Develop and implement successful behavior management techniques specific to the patient's needs, develops "behavioral contracts" with clients and families as necessary and provides effective crisis management.
• Complete ADL assessment and home safety assessments based on patient interview. Complete needs assessment and conducts educational activities that promote patients' understanding of treatment issues.
• Develop treatment plans and interventions with patient and family input, monitor compliance with treatment plan and problem solve barriers to patient self-management.
• Communicate regularly with patients and families, with hospital team, community providers and document interventions regularly in required systems for the clinical record and outcome reporting.
• Conduct regularly scheduled caseload consultation with the BHCC psychiatrist and communicates resulting treatment recommendations to the patient's PCP. These consultations will primarily focus on patients who are new to treatment or are not improving as expected.
• Works in collaboration with the Primary RN Care Coordinator to remove barriers that prevent the patient from adhering to the Plan of Care.
• Refer nursing functions, such as obtaining physician order for home health services, teaching patient how to self-monitor medical conditions if no medical necessity to justify home health, assessing patient's compliance with medications and administer injectable medications as ordered by the physician, to BHCC- RN.

Education

Masters Degree in Social Work or Mental Health Counseling

Licensing Requirements
Certificates/Licenses/Registration

• Licensed Clinical Social Worker (LCSW)
• Licensed Mental Health Counselor (LMHC)
• Basic Life Support (BLS)
• NAPPI Certification
• Level 2 DCF Background Screening

Preferences:
Additional Information:
In lieu of LCSW or LMHC, licensure as a Registered Clinical Social Work Intern OR licensure as a
Registered Mental Health Counselor Intern to be considered.
Post-Employment: BLS, provided by American Heart Association (AHA), required within 30 days of
employment.
Post-Employment: Completion of NAPPI training (Non-Abusive Psychological & Physical Intervention) within
90-days of employment; annual re-certification required thereafter.
Level 2 DCF Screening required upon hire.