Care Coordinator

3 days ago

Philadelphia, Pennsylvania, United States WES Health System Full time
Job Description

At WES Health System, we are seeking a highly skilled and compassionate Care Coordinator to join our team. As a key member of our staff, you will provide intensive care coordination to children and adolescents and their families, ensuring collaboration of all outside services and securing new services as needed.

Key Responsibilities:

  • Provide coordination of all services for IBHS consumers and their families, including linkages to new services needed
  • Ensure appropriate referrals to community resources and follow-up on these referrals
  • Consult with and document contact with IBHS consumers' families and significant persons
  • Collect information surrounding referrals, including MTSS paperwork, IEP, discharge summaries, past evaluations, educational plans, treatment history, school behaviors, etc.
  • Perform reminder and follow-up calls for Level of Care Assessments and outside service appointments
  • Update contact information in Credible
  • Complete social determinant of health scales (matrix) for all consumers, in the absence of a Family Peer Specialist
  • Invite and remind interagency meeting participants
  • Obtain and update yearly all consents, tracking expirations to proactively complete
  • When needed, monitor consumers' behaviors, emphasizing prevention rather than intervention
  • Intervene when problem behaviors are exhibited, including counseling, removing them from the area, verbal prompts, securing the assistance of clinical staff, etc.
  • Prevent crisis, however, when necessary, deescalate children in crisis
  • Collect outcome data for consumers and input outcome data into computer system
  • Follow up on all consumers needing hospitalization
  • Review Assessments and SDOH Matrix for needs identified and connect consumers and families to services to address these needs
  • Identify and establish contact with community resources and assist in resource mapping
  • Maintain the All IBHS excel resource spreadsheet by adding newly identified resources or changes in contact information
  • Complete home and community visits
  • Provide timely completion and follow-up of Clinician and Directors requests for connecting families to needed resources
  • Escort families to appointments
  • Execute discharge plan by making all referrals to community resources
  • Represent program/Agency at community activities/fairs
  • Meet service productivity expectations
  • Complete all paperwork within specified time frames
  • Maintain an understanding of agency policies and procedures
  • Attend and participate in supervision and staff meetings in accordance with regulatory standards
  • Adhere to WES's Code of Ethics and comply with State Mental Health Code
  • Attend trainings as required by WES
  • Participate in and adhere to Individualized Training Plan
  • Participate in continuous quality assurance/program development
  • Comply with WES standards for service delivery
  • Maintain consumer confidentiality

Additional Responsibilities:

Perform other duties and special projects as assigned.

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