SUD Residential Care Coordinator

Description

Summary of Job Duties: The Care Coordinator is a member of a multi-disciplinary team responsible for providing services to adults in residential substance abuse treatment. The Care Coordinator provides assessment, crisis intervention, and connects those seeking services to all needed services within and outside of the CRBH system. The Care Coordinator identifies and coordinates services to address needs related to medical, behavioral health, social services, housing, education, employment by connecting to all available resources. The Care Coordinator completes intakes and transitions in levels of care, as well as continued reviews throughout each level of care. 

Essential Duties and Responsibilities:

Include the following:

• Conduct initial screenings and intakes for residential clients entering SUD services for 3.5 and 3.1 levels of care.
• Complete transitions between levels of care ranging from 3.5 to 1.0.
• Manage MCO authorizations for each client
• Conduct reviews for authorizations for each client 
• Complete referrals to psychiatric, medical, social, educational and other support services.
• Upon admission, the assigned clinician identifies all current medical, behavioral health, psychiatric, medication-assisted treatment (MOUD), and community providers involved in the client’s care and obtains appropriate Releases of Information within 24 hours.
• Residential Care Coordinator initiates contact with identified providers within 72 hours of admission to verify current services, medication regimens, and any safety concerns.
• Care coordination activities are documented in the clinical record and incorporated into the individualized treatment plan.  
• For clients concurrently receiving services from an outside medical, psychiatric, MOUD, or other healthcare provider, the primary clinician or designated staff will track the client's progress with the concurrent provider through ongoing communication, review of recommendations and treatment status, and incorporation of relevant information into the client's treatment plan and clinical record.
• For clients receiving MOUD or psychiatric medications, the program maintains communication with the prescribing provider to support medication continuity and monitor clinical stability.  
• Develop aftercare plans with clients prior to discharge with resources and follow up appointments
• Submit all needed documentation to accepting providers when requested or if completing a referral for aftercare plan, within 72 hours of discharge
• Care coordination efforts support appropriate step-up or step-down transitions in care and ensure follow-up appointments are scheduled prior to discharge whenever possible.
• Manage appointments for clients and communicate those to necessary staff for arrangement of transportation
• Manage telehealth appointments for clients (i.e., setting them up for the appointment, determining outcome of appointment)
• Identify client needs and assist in engaging community resources to promote wellness and recovery and overcome barriers to accessing needed services.
• Respond to emergency situations in a timely fashion.
• Maintain ongoing communication with referring providers
• Provide warm hand off when CCBHC clients are referred to a partnering provider.
• Provide crisis assistance to the consumer and coordinate any needed service.
• Demonstrate the ability to work effectively with other team members, as part of a multidisciplinary team, and independently, when necessary.
• Maintain documentation of services needed, referrals completed and follow up with both client and treatment providers.
• Other duties may be assigned.

Required Job Skills:

• Oral and Written Communication Skills
• Ability to exercise good judgment, tact, diplomacy and compassion when problem solving, handling conflict or a crisis
• Ability to work effectively with diverse personalities and to build and maintain positive working relationships with individuals of all races, backgrounds and needs 
• Knowledgeable of Behavioral Health Concepts and how to incorporate concepts into practical application including Recovery Concepts for persons with severe mental illness and substance use disorder
• Knowledgeable about ASAM levels of care, dimensions, and assessments

Additional Responsibilities:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation will be made to enable the individual with disabilities to perform the essential functions.

• Physically able to reach, push, pull, stoop, bend, stand, walk and lift up to 20 pounds
• Possess a valid Kentucky Driver’s License and maintain a safe driving record if required for job performance.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee occasionally works in outside weather conditions, maybe off-site from normal office location or placed at a Residential Program

The noise level in the work environment is mild to moderate.

Environmental Data and Job Hazards:

• Position may require duties to include routine or reasonable anticipated tasks or procedures where there is a degree of actual or potential exposure to blood or other infectious materials. Annual infection control training required.
• All new staff must attend training regarding handling physical, verbal threats, acts of violence or other escalating and potentially dangerous situations.
• Local, regional and state travel required on a regular basis. Active, in force driver’s license required.

Requirements

Qualifications: A minimum of a Bachelor’s degree in Psychology, Sociology, Social Work, Human Services or related field from an accredited school; or a Master’s Degree in Human Services field from an accredited school with licensure is preferred. Experience with ASAM levels of care required. Submit to and pass a criminal background check and drug screening.

Hours: Work hours are structured in 8 hour blocks per day, totaling 40 hours per week. Schedules may be adjusted to accommodate irregular or flexible hours as required by agency needs.

This position reports directly to the Program Director of the residential program.

Required Job Performance:  

Successful Performance Evaluation on an annual basis. A Performance Improvement Plan will be initiated on all employees who have a negative performance evaluation. An employee will be terminated if the Performance Improvement Plan is viewed as unsuccessful after 2 attempts.