Care Coordinator

Job Summary

The Care Coordinator is responsible for implementing an Evidence-Based Curriculum for parents who are pregnant or parenting a child 0-5 years of age. The Care Coordinator will provide knowledge to parents during home visits on early childhood development, parenting education, and community resources. They will also conduct family-centered assessments and goal planning with the families, connect families to outside resources and referrals, and provide coordination and advocacy for services needed to assist families in working towards their goals.

Essential Functions

• Ensure project objectives and deliverables are met and comply with GPTLHB and GP-TMIECHV policies and procedures.
• Manage caseload of 15-20 clients and their families.
• Conduct weekly home visits to clients’ homes and/or other locations as required.
• Conduct family-centered assessments and service planning with the families, connect families to outside resources and referrals, and provide coordination and advocacy for services needed to assist families in working towards their goals.
• Ensure collection of program data.
• Report to the GP-TMIECHV Program Manager and/or Director of Maternal and Child Health on a regular basis regarding overall program performance and progress.
• Attend and assist in all required classes, meetings, GP-TMIECHV in-service training and required community events.
• Maintain a positive working relationship with collaborative partners and others within the community.
• Ensure program/participant confidentiality.
• Create, promote, and disseminate information to community members and organizations regarding the Tribal Home Visiting program.
• Recruit and enroll expecting moms, mothers, fathers, and/or caregivers of children aged 5 to birth. Initiate contact with referred families and actively work to engage families in the program.
• Deliver evidence-based curriculum lessons at enrolled participant’s home visits.
• Assist clients in setting family goals based on their individual needs assessments and identifying steps to achieve their goals; monitor progress.
• Provide outreach services to engage and connect clients with community agencies that will help meet their needs and goals.
• Maintain case records following agency and program policies, procedures, and requirements.
• Collect data and enter data into a database for the program’s information.
• Track client information and provide proper follow-up about referrals and appointments.
• Serve as an advocate for clients. Consistently demonstrate the ability to link clients/families with community resources. Stay informed of relevant community resources to make appropriate referrals.
• Attend and participate in weekly individual reflective and administrative supervision with the Program Manager and the Infant Early Childhood Mental Health Consultant
• Assist families with enrollment and follow-up of public benefits (SNAP and TANF).
• Attend and participate in all scheduled conferences, in-service training, and program meetings.
• Participate in Continuous Quality Improvement activities.
• Perform all other duties as assigned.

Professional Behavior

• Effectively plan, organize workload and schedule time to meet the demands of the position.
• Work in a cooperative and professional manner with OHC and GPTLHB staff.
• Treat Great Plains tribes and collaborators with dignity and respect.
• Utilize effective verbal and written communication skills.
• Advance personal educational development by attending training sessions and seminars as appropriate.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Handle crisis and tolerate stress professionally.
• Be self-directed and take proactive initiative to assist others.
• Resolve issues with other departments and coworkers without direct supervision if needed.
• Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Promote an alcohol, tobacco and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.
• Other duties as assigned by the Supervisor

Requirements

• Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices in their work.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
• Valid driver’s license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.

Supervisory Controls

The supervisor provides continuing or individual assignments by generally indicating what is to be done, limitations, quality and quantity expected, deadlines, and priority of assignments. When there are new, difficult, or unusual assignments, the supervisor provides additional, specific instructions for including suggested work methods or advice on source material available.

The employee uses initiative in carrying out recurring assignments independently without specific instructions but refers deviations, problems, and unfamiliar situations not covered by instructions to the supervisor for decision or help.

The supervisor reviews finished work to assure the methods used are technically accurate and in compliance with instructions or established procedures. Review of the work increases with more difficult assignments if the employee has not previously performed similar assignments.

Guidelines

The employee must use judgment in interpreting and adapting guidelines, such as agency policies, regulations, precedents, accreditation requirements, advanced clinical protocols, and work directions for application to specific cases or problems. The employee analyzes results and recommends changes.

The employee uses initiative and resourcefulness in deviating from traditional methods or researching trends and patterns to develop new methods, criteria, or proposed new policies.

Complexity / Scope and Effect

The work includes some variations, and may involve different and unrelated processes and methods. The decision regarding what needs to be done depends upon the analysis of the subject, phase, or issues involved in each assignment, and the chosen course of action may have to be selected from many alternatives.

The work involves conditions and elements that must be identified and analyzed to discern interrelationships.

The work involves treating a variety of conventional problems, questions, or situations in conformance with established criteria. The work product or service affects the design or operation of systems, programs, or equipment; the adequacy of such; the social, physical, and economic well-being of people; or the social or economic well-being of the organization.

Personal Contacts & Purpose of Contacts

The personal contacts are with individuals or groups from outside the organization in a moderately unstructured setting. For example, the contacts are not established on a routine basis and the purpose and extent of each contact is different.

The purpose is to influence, motivate, interrogate, or control persons or groups. The persons contacted may be fearful, skeptical, uncooperative, or dangerous. Therefore, the employee must be skillful in approaching the individual or group in order to obtain the desired effect, such as gaining compliance with established policies and regulations by persuasion or negotiation or gaining information by establishing rapport with a suspicious informant.

Physical Demands & Work Environment

The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. The employee must be able to read, write, speak and hear.

The environment involves everyday risks or discomforts that require normal safety precautions typical of such places as offices, meeting and training rooms, requiring use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals. The work area is adequately lighted, heated, and ventilated.

Supervisory & Management Responsibility

This is a non-supervisory position that may provide functional direction, guidance and instruction to other employees when necessary. This position possess authority to assign, coordinate, and review quality and quantity of work of other employees. Instructs employees in specific techniques or technical methods for accomplishing work assignments. The employee may perform the same type of work as other employees but may be responsible for performance of the more technically difficult, controversial, or sensitive work assigned to the unit or group.

Minimum Requirements

• Completion of a formal training program or an associate’s degree and one (1) year of relevant experience; or a high school diploma or GED and three (3) years of relevant experience.
• Individuals must have applicable education or experience applying a body of standardized rules, procedures, or operations to perform the full range of standard clerical assignments and resolve recurring problems or to operate and adjust varied equipment for purposes such as performing numerous standardized tests or operations.

The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.