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Patient Care Coordinator
2 months ago
The Patient Care Coordinator plays a vital role in enhancing patient well-being by facilitating ongoing care and essential resource allocation tailored to individual needs. This position involves effective communication with various stakeholders and the treatment team to identify and address any obstacles to care, while also contributing to clinical programming through both group and individual sessions as assigned.
Key Responsibilities:
Evaluate patient and support system requirements for resources based on:
- medication oversight (psychiatry)
- psychotherapeutic services (individual, group, partial hospitalization, intensive outpatient, residential)
- continuous medical attention
- housing and placement options (nursing facilities, assisted living)
- financial assistance (applications for social security disability, HUD, food assistance, energy aid, etc.)
- community support services (groups)
- specific local resources (SAIL, CSP, group homes).
- Assist in the creation and execution of transition, discharge, and aftercare strategies before the conclusion of behavioral health services.
- Organize follow-up appointments for patients with primary care physicians, psychiatrists, and other therapy programs, as well as living arrangements.
- Engage with referral sources and/or other treatment providers within the designated timeframe and document accordingly.
- Coordinate community resources to facilitate discharge. Provide all necessary documentation to other providers to ensure continuity of care.
- Solicit feedback from the treatment team and collateral partners to address the ongoing care needs of patients.
- Collaborate with the treatment team and collateral partners to secure appropriate discharge resources.
- Maintain an updated list of specific resources in alignment with best practices.
- Provide team coverage as permitted by state regulations, scope of practice, and competency under the guidance of the clinical operations supervisor.
- Administer cognitive behavioral therapy, dialectical behavior therapy, behavioral activation, interpersonal psychotherapy, and other therapeutic services to patients in accordance with clinical standards and under supervision.
- Implement goals, objectives, and interventions as outlined in the patient's individualized treatment plan.
- Utilize knowledge and skills to gather and assess information regarding the patient's condition.
- Identify specific individual needs.
- Provide interventions tailored to the individual.
- Facilitate individual skills development.
- Practice trauma-informed care.
- Engage in training under the direction of the clinical operations supervisor.
- Consult with the treatment team and support system as necessary.
- Participate in regular supervision sessions with the clinical operations supervisor in compliance with regulatory requirements.
- Attend and contribute to interdisciplinary treatment team meetings.
- Obtain outcome assessments at admission, discharge, and throughout the stay as necessary.
- Complete ongoing treatment documentation as mandated by program guidelines, including patient care notes, group documentation, and contact notes.
- Support the acquisition of Releases of Information to ensure continuity of care and collaboration.
- Ensure the safety of the area.
- Provide a structured therapeutic environment where positive social, educational, and personal behaviors and coping skills are taught, reinforced, and enhanced.
- Support the management of the therapeutic environment.
- Respond to emergency situations as required.
- Be receptive to change and actively support it.
- Be open to diverse ideas and perspectives.
Education and Training Requirements:
- Bachelor's degree in human services or a related field is strongly preferred, or a minimum of five (5) years of relevant experience in case management or the mental health field.
- State-specific substance use credential required or to be obtained within a specified timeframe.
- At least two (2) years of experience working with individuals with mental health and substance use disorders.
- Certification in CPR from the American Heart Association or American Red Cross is required within a specified timeframe. Annual re-certification is mandatory.
- Formal training in managing aggressive patients is required within a specified timeframe. Annual re-certification is necessary.
- Health, dental, and vision insurance for you and your family
- 401(k) retirement plan
- Employee share program
- Life and disability insurance
- Flexible spending accounts
- Tuition reimbursement
- Health and wellness initiatives
- Employee assistance program (EAP)