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Care Coordinator

4 months ago

Hobbs, United States GUIDANCE CENTER OF LEA COUNTY Full time
Job DescriptionJob Description

POSITION SUMMARY

CareLink NM is a Medicaid-funded care coordination program. CareLink is intended to enhance integration and coordination of primary care, behavioral health care, acute care, and long-term care services for individuals with a serious mental illness diagnosis along with a chronic physical health diagnosis.

CareLink NM services include comprehensive needs assessment and individualized care plan; care coordination; prevention, health promotion, and disease management; comprehensive transitional care; individual and family support service; and referrals to community and social support services.

RESPONSIBILITIES

  1. Carry a minimum caseload of 80 individuals at a time
  2. Complete a monthly billable encounter with at least 90% of assigned caseload
  3. Contact eligible individuals to provide education and orientation about CareLink services, and obtain and document the individual decision’s about opting-in to CareLink
  4. Conduct Comprehensive Needs Assessment (CNA)
  5. Create an integrated service plan based on the CNA with the enrolled individual
  6. Create crisis and disaster plans with enrolled individuals
  7. Conduct a minimum of one encounter per month per client that supports the individual’s progress towards service plan goals
  8. Perform all care coordination activities as needed
  9. Maintain clear, concise, and timely documentation adhering to all policies and procedures
  10. Document client interactions and encounters in the GCLC electronic health record, the State of New Mexico’s NMSTAR system, and internal spreadsheets
  11. Maintain all client charts following the CareLink Policy Manual and GCLC requirements
  12. Function as the hub for the individual’s care team developed in collaboration with the individual, their natural supports, and as informed by the CNA
  13. Engage natural supports and community resources to assist in overcoming barriers to engagement or access to care
  14. Engage and collaborate with all integrated care team members and conduct team meetings as necessary to make sure client’s medical and mental health needs are understood by all team members
  15. Understand and maintain HIPAA and 42CFR Part 2 confidentiality standards
  16. Participate in all mental health department training and supervision
  17. Be proficient in all aspects of the CareLink Policy Manual and additional program-related requirements
  18. Perform other duties as assigned

QUALIFICATIONS

Minimum

  1. Hold a bachelor's degree in a relevant field from an accredited university and/or two years of relevant behavioral healthcare experience; or
  2. Hold Licensure as Behavioral Health practitioner (e.g. Social Worker, Counselor, Marriage and Family Therapist); or
  3. Registered Nurse
  4. Must pass required background checks and drug screenings
  5. Commitment to the highest ethical standards of the profession
  6. Maintains confidentiality and discretion as a rule
  7. Meets specified deadlines and manages time effectively
  8. Exhibits skills in comprehending, interpreting and completing delegated tasks efficiently, and ask questions when something is not understood
  9. Self-starter; must have the ability to work independently and follow-up on all work assignments given by the CareLink Supervisor or the Director of Community Services
  10. Ability to multi-task, prioritize and work under pressure without losing sight of objectives
  11. Exemplary organizational skills
  12. Must be computer literate to effectively maintain compliance with all standards and requirements
  13. Professional communication skills (e.g. responds to all emails and correspondence (voice messages, telephone encounters and messages)) in a timely manner (24 hours or less)
  14. Keep CareLink Supervisor or the Director of Community Services informed of CLNM member’s changes in both physical and mental health status, urgent issues, and questions about confidentiality
  15. Maintains a valid and unrestricted NM Driver’s License
  16. Must be able to use personal vehicle over course of employment
  17. Maintains valid and sufficient personal automobile insurance

Preferred

  1. Previous work providing in-home or community-based mental health or case management services
  2. Experience with medically integrated mental health services
  3. Demonstrated interest in rural and community health
  4. Fluency in English and Spanish, both verbal and written

CONDITIONS OF WORK

Hiring and promotion will be accomplished in compliance with the GCLC's Personnel Policies and Procedures. This position is exempt under the Fair Labor Standards Act. This position requires a minimum of 40 hours per week, generally Monday through Friday. Hours or days may vary according to need. Personal transportation is mandatory. Travel may be required for delivery of services, training, or conferences.