POSITION SUMMARY

The Care Coordinator functions as a member of an integrated system of care team who will work with providers across NAHC and other systems of care to provide NAHC clients with access to an integrated, holistic system of care. The Care Coordinator will provide care coordination, housing case management, member navigation, system navigation (internal and external), peer advocacy, health education, mapping individual, family and community supports and assets, panel management support, and warm handoff services. The Care Coordinator may work with other mental health providers when such treatment is indicated. The care coordinator may provide report writing, when appropriate.  The Care Coordinator II may also support in workflow development and updates, quality improvement projects, as well as training new staff. 

DUTIES AND RESPONSIBILITIES

Manage a diverse caseload of adults, youth, and families with a shared understanding of the respective roles and responsibilities of team members to ensure that collaboration is efficient. Screen and assess members for common mental health, substance abuse, and social resource needs. Develop, implement, and monitor individual plans of care using a culturally sensitive and strengths-based approach, to assist members and families to cope and/or restore social, emotional, financial and environmental factors that affect and/or are affected by illness. Identifies members not improving on health/wellness goals and/or with urgent healthcare needs to assist with prioritization for treatment adjustment or case review with the treatment team. Accurately and expediently complete electronic and case management systems documentation and other data collection components related to mental health services. Provide case management in accordance with the SF Rental Assistance Program. Provide guidance, referrals and linkages between homeowners, renters, community members, tenant and property owners, and developers. Provide early intervention, direct services, referrals, and liaison services between agencies as needed to support members with medical, behavioral health, and social services needs to promote overall health.  Provide member education about common mental health, substance abuse disorders, and chronic health conditions and available treatment options. Work collaboratively to resolve differing perspectives, priorities and schedules among providers. Provide support on quality improvement projects that support agency growth. Connect healthcare consumers and family members to other members of the healthcare team through face-to-face encounters known as “warm hand-offs.” Represent the program, department and agency in a positive and professional manner at all times. Provide appointment reminders to members and facilitate access to services. Member Care: Demonstrate understanding and apply working knowledge of safety policies and ensuring safe member practices. Employee Safety: Safely performs all duties; follow required protective protocols to ensure personal safety as well the safety of others. Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches. HIPAA: Keep all protected health information (PHI) confidential and abide by HIPAA policies for the release and disclosure of any PHI. Will report unauthorized use of disclosure of PHI immediately, to supervisor or HIPAA security officer. Work well under pressure, meet multiple and often competing deadlines.  At all times demonstrate cooperative behavior with supervisors, subordinates, colleagues, clients and the community. Other duties as assigned by Supervisor or CWD Site Director.