Care Coordinator I, Sbhc

6 days ago


Oakland, United States Native American Health Center Inc Full time

***
The Care Coordinator (CC) is responsible for linking NAHC clients to medical, dental, behavioral health and social services. The CC will be a member of our School-Based Health Center (SBHC) Department who will be a part of our integrated
system of care team working with providers across NAHC and other systems of care to provide clients with access to a holistic system of care. The CC will provide care coordination, case management, member navigation, system navigation (internal and external), peer advocacy, health education, mapping individual, family and community supports and assets, screening, and panel management support.

The Native American Health Center is an accredited institution and adheres to the standards of excellence set forth by the Accreditation Association of Ambulatory Health Care (AAAHC) and the Commission of Dental Accreditation (CODA).

**DUTIES AND RESPONSIBILITIES**
1. 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.
2. 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.
3. Accurately and expediently complete electronic and case management systems documentation and other data collection components related to mental health services.
4. Meet mental health visit goals as required for various contracts and grants.
5. 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.
6. Provide individual, group, and family crisis intervention and aftercare/discharge support. Link to emergency services as needed, as well as ongoing case management, which may include interacting with police, psychiatric services, hospitals, and other community agencies and staff.
7. Provide member education about common mental health, substance abuse disorders, and chronic health conditions and available treatment options.
8. Work collaboratively to resolve differing perspectives, priorities and schedules among providers.
9. Connect healthcare consumers and family members to other members of the healthcare team through face-to-face encounters known as warm hand-offs.
10. Represent the program, department and agency in a positive and professional manner at all times.
11. Provide appointment reminders to members and facilitate access to services.
13. Employee Safety: Safely performs all duties; follow required protective protocols to ensure personal safety as well the safety of others.
14. Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches.
15. 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.
16. Work well under pressure, meet multiple and often competing deadlines.
17. At all times demonstrate cooperative behavior with supervisors, subordinates, colleagues, clients and the community.
18. Other duties as assigned by Supervisor.

**MINIMUM QUALIFICATIONS**
1. High school diploma or GED equivalency.
2. At least one year experience providing care coordination services, counseling, or case management services.
3. Fluency in both English and Spanish.
4. Obtain certificate in Motivational Interviewing within the first six months of hire.
5. Excellent writing and facilitation skills.
6. Demonstrate understanding of the principles of behavioral and primary health care integration.
7. Knowledge of the Bay Area Native American community with a commitment to serving Native Americans and other vulnerable member populations including LGBTQ2S populations.
8. Must be able to provide TB and Physical clearance prior to start date.
9. Able to furnish Vaccination history prior to start date dependent on role.
10. BLS/CPR certification must be obtained prior to start date and kept current at all times.
11. If in recovery, 3 or more years of sobriety.
12. Knowledge of funding, community resources/services and clinical standards is required.
13. Experience working with vulnerable, underserved, homeless and transient populations.
15. Must have reliable transportation to travel between different school-based health center sites located in Oakland, San Leandro and Alameda.

**PREFERRED QUALIFICATIONS**
16. Current knowledge of Federal/State regulations relative to social work; or willingness to learn about Federal/State regulations relative to social work.
17. Cultural knowledge related to Indigenous populations of the SF Bay Area.
18. Working knowledge of differential diagnosis of c


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