Care Coordinator - Intensive Case Management (ICM) Gwinnett/Rockdale/Newton /Clayton

View Point Health

Job Title: Care Coordinator

Job Code: SST012/Social Services Tech 3

Shift: Full-Time (40 hours per week on average)

Job Hours: 8:00 PM – 5:00 PM - Times May Vary

Base Location: Gwinnett/Rockdale/Newton/Clayton

Division/Department/Program: Care Coordinator (ICM)

• Intensive Case Management (ICM) consists of providing environmental supports and care coordination considered essential to assist a person with improving his/her functioning, gaining access to necessary services, and creating an environment that promotes recovery as identified in his/her Individual Recovery Plan (IRP).
• The focus of the interventions includes assisting the individual with 1) developing natural supports to promote community integration; 2) identifying service needs; 3) referring and linking to services and resources identified through the service planning process; 4) coordinating services identified on the IRP to maximize service integration and minimize service gaps; and 5) ensuring continued adequacy of the IRP to meet his/her ongoing and changing needs.
• The performance outcome expectations for individuals receiving this service include decreased hospitalizations, decreased incarcerations, and decreased episodes of homelessness, increased housing stability, increased participation in employment activities, and increased community engagement.
• Intensive Case Management shall consist of four (4) major components and cover multiple domains that impact one’s overall wellness including medical, behavioral, wellness, social, educational, vocational, co-occurring, housing, financial, and other service needs of the individual.

View Point Health’s Care Coordinators are an integral part of our program. The Care Coordinator provides intensive case management services for consumers with severe and persistent behavioral health disorders. Typically, the goal is prevention of hospitalization or other out-of-home placements. The Care Coordinator provides services primarily in community settings: home, school, and other service settings.

Duties & Responsibilities:

• Conducts face-to-face comprehensive assessments to identify problems and service needs.
• Will utilize their personal recovery experience as a tool in providing support to consumers in meeting daily recovery goals and during crisis episodes.
• Will function as part of an interdisciplinary team to provide indirect and direct clinical and supportive services.
• Provides and bills only those consumer services that are authorized in the service plan.
• Arranges appointment schedule at optimal intervals to maximize use of work time. Monitors consumer progress and compliance with the service plan.
• Writes timely progress notes that relate directly to the treatment outcomes described in the service plan.
• Assembles, analyzes, and interprets new/updated information about the consumer to reassess treatment needs.
• Identifies unmet needs, reviews available resources, and modifies the treatment plan as indicated.
• Requests treatment authorizations and re-authorizations within required time frames.
• Provides service linking and monitoring. Establishes linkages and coordination of services with community agencies.
• Develops and maintains cooperative working relationships with community service providers.
• Informs consumers and families of the availability of community advocacy and support groups.
• Other critical services provided include symptom management, behavior management planning, teaching of relevant skills, supportive community-based interventions, and crisis intervention services.
Participates in interdisciplinary case staffing and staff meetings.

• Travel in all Region 3 and transport individuals when needed.
• Must be fluent in Spanish.
• Perform certain case management duties.
• Work after hours and weekends when needed.
• Be available to respond to emergencies 24 hours a day when On-call.
• Participate in morning meetings.
• Perform other disciplined duties when appropriate and needed.

Minimum Qualifications:

Bachelor's degree in a social service-related field from an accredited college or university AND One year of experience in a social service-related field OR High school diploma or GED AND Three years of experience in a social services related position OR One year of experience at the lower level Social Svcs Tech 2 (SST011) or position equivalent. Must be fluent in Spanish.

Preferred Qualifications:

• Bachelor’s degree in social services or closely related field from an accredited college or university.
• Two (2) plus years of experience specifically working with adults with severe & persistent mental illness & addictive diseases.
• At least 2 years’ experience providing care coordination in home services.
• Experience with Care Logic electronic health record system.
• Superior verbal and written communication skills.
• Experience working in a high stress, fast-paced environment with a very emotionally and physically changing population.
• Ability to multi-task and manage time effectively.
• Knowledge of community resources within DeKalb and Fulton Counties.

Requirements/Competencies:

• Must be able to lift 20 pounds.
• Requires long periods of sitting/standing.
• Must have valid Georgia driver’s license and Motor Vehicle Record in accordance with company policy.
• Candidates for selection must pass a criminal background check (including fingerprinting).
• Must pass a pre-employment drug screen and subject to random drug screens.
• Any combination of training and experience which would have enabled the applicant to acquire the necessary knowledge, skills and abilities.

Note: Some positions may require a valid driver's license.

Benefits (for qualified employees):

• State Health Benefits Package (medical, dental, vision, life insurance, disability, long-term care, legal services, flexible spending accounts)
• Paid New Hire Training
• Company contributes additional 7.5% of salary to 401(a) Retirement Plan
• No employee deduction for Social Security
• Additional benefits such as legal services, Employee Assistance Program and discounted tickets to attractions, shopping, technology, and travel
• Supervision, training, and continuing education opportunities available