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Care Coordinator

4 months ago


Sylacauga, United States AltaPointe Health Full time

Overview:

AltaPointe Health is pleased to introduce enhanced competitive pay rates across our locations Contact a recruiter today to explore a variety of positions available, including part-time and full-time roles in both clinical and clerical settings

Certified Community Behavioral Health Clinics (CCBHCs) seek to improve the behavioral health of their communities by: providing outpatient mental and substance use disorder services; advancing integration of behavioral health with physical health care; assimilating and utilizing evidence-based practices on a more consistent basis; and promoting improved access to high quality care.

Responsibilities:

General Responsibilities:

  • Assess and re-evaluate patient needs utilizing information from EHR and additional tools as appropriate to determine patient needs and preferences and communicate those to all treatment participants
  • Create an Integrated Care Plan in conjunction with the patient and/or caregiver
  • Ensure the patient understands the Care Plan and is equipped to follow it
  • Identify and address all barriers that might impede the ability of the patient to care for themselves
  • Assemble appropriate team of professionals to assist in meeting patient needs, organize patient care activities and share information among all participants
  • Assist the patient/caretaker in navigating the health system while addressing any insurance coverage issues
  • Update assessment and care plan at least every 90 days
  • Utilize the Integrated Care Plan to drive all activities and services
  • Provide information and feedback in daily Huddles regarding needs, plans/interventions/results
  • Research ways to meet needs and put action steps in place, monitor for progress
  • Advocate on behalf of the patient
  • Follow up regularly with patient to ensure needs are being met and identify any changes to patient circumstances, any compliance concerns
  • Consult with treatment team when noncompliance is found
  • Provide training on disease management and healthy living skills
  • Provides initial Diabetes Care Introduction
  • Provide support and education for patient and their support system
  • Facilitate securing/providing medical records when patient is in the hospital, ED, etc.
  • Track and support patients when they obtain services outside the practice.
  • Follow-up with patients within a few days of an emergency room visit or hospital discharge.
  • Communicate test results and care plans to patients/families.
  • Collaborate and consult with staff members and outside sources in the delivery and arrangement of services
  • Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
  • Effectively demonstrates the application of adult specific competencies

Supervision and Consultation:

  • Seek supervision and consultation as needed
  • Accept and employs suggestions for improvement
  • Actively works to enhance skills

Clinical Record Keeping:

  • Document in a timely fashion per AltaPointe policy
  • Document in a clear and concise manner.
  • Document legibly

Courteous and respectful attitudes towards consumers, visitors, and co-workers:

  • Treat patients with care, dignity, and respect
  • Respect privacy and confidentiality
  • Assist others as needed
  • Adopt a teamwork approach with coworkers

Administrative and Other Related Duties as Assigned:

  • Actively participates in Performance Improvement activities
  • Actively participates in AltaPointe committees as required
  • Completes assigned tasks in a timely manner
  • Follows AltaPointe policies and procedures
  • Attends appropriate in-services training and other workshops


Qualifications:

Bachelors degree in a behavioral health or social services related discipline preferred. HSD or GED with 2 years of experience working with individuals with psychiatric, substance use, and/or developmental disabilities required in lieu of degree. Must meet all driving requirements.

Knowledge in adult specialties, outlined below, to be attained within six (6) months of employment:

  • Psychiatric disorders in adult populations
  • Chronic medical conditions
  • Trauma Informed Care
  • Cultural diversity
  • Social determinants of health
  • How to administer and utilize basic assessment tools to assess needs and create an Integrated Care Plan
  • Resources available to meet the needs of patients based on payor source
  • Utilizing electronic health records
  • Behavior management, crisis intervention and interventions common to acute psychotic consumers, as well as, to non-violent crisis intervention practices.