community care coordinator

Metrocare

<div>Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. 
 
Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare&rsquo;s Altshuler Center for Education &amp; Research are advancing mental health beyond Dallas County while providing critical workforce to the state.
Job Description:
GENERAL DESCRIPTION:
 
 
The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. Our vision is that regardless of challenges faced, the people we serve maximize the ability to find the meaning and satisfaction they choose for their lives. Our Center values Integrity, Quality, Diversity, and Perseverance. We are an agency committed to quality, accountability and culturally/gender-responsive, and trauma-informed care to individuals experiencing serious mental illness, development disabilities, and/or co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve.
 
 
This Community Care Coordinator communicates consistently and effectively with various partners and community providers and other Metrocare staff regarding clients&rsquo; assessments, barriers, and unique needs. This may include housing, benefits, food and clothing resources, and other areas to ensure a complete and comprehensive treatment approach. The Community Care Coordinator will provide connection to services for individuals coming through various community partners that seek to reduce the impact of mental health and social determinants that lead to crisis. They will be expected to work closely and collaboratively with community mental health agencies, law enforcement, and service providers regarding clients to develop effective responses to referrals. The team will also provide updates and feedback on referrals that are made and will communicate and coordinate with community providers regarding services for referrals. 
 
 
 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
<ul><li>Provide coordination in all aspects of care between the clients, community partners and Metrocare.
</li><li>Assist clients while they are in crisis in accessing appropriate mental health services and facilitate appropriate continuity of care.
</li><li>Provide accurate and timely reporting metrics to supervisors.
</li><li>Make accurate and effective assessments and recommendations regarding the client&rsquo;s mental health needs in compliance with the client&rsquo;s rights as well as all relevant State and Federal statutes, and Metrocare policies and procedures.
</li><li>Develop and maintain rapport with the various agencies and organizations involved with the diversion program.
</li><li>Prepare, create, and maintain records, files, documents, reports, and correspondence both within Metrocare and partner agencies and organizations.
</li><li>Work with other Metrocare employees, members of partner agencies and organizations, as well as the target population and their families in a constructive and efficient fashion.
</li><li>Create and/or enhance an existing person/family-centered recovery plan that identifies an individual&rsquo;s goals, objectives, strengths and preferred involvement of natural supports as well as coordination with internal and external providers.
</li><li>Assessing consumer needs on a continual basis throughout the course of treatment
</li><li>Assistance with scheduling and completing all internal and external provider appointments.
</li><li>Assistance to meet needs impacting social drivers of health including housing, food, clothing, transportation, employment and academic needs.
</li><li>Interacting with other team members to provide comprehensive and timely assistance in resolving issues that are barriers to the consumer receiving services.
</li><li>Coordination with internal and external providers to ensure a holistic approach to care that considers all areas of an individual&rsquo;s life, the individual&rsquo;s wants and goals and all treatment interventions.
</li><li>Documenting services in the electronic health record within 24 hours after services have occurred.
</li><li>Develop/maintain collaborative working relationships with internal and external referral resources, allowing creation/renewal of informal and formal agreements between Metrocare and those external agencies. Relationships with external agencies will include but are not limited to: FQHCs, inpatient psychiatric and substance use facilities, the Department of Veteran Affairs, inpatient acute care hospitals and hospital outpatient clinics and community/regional supports and providers such as schools, child welfare agencies, criminal justice, and Indian Health Services.
</li><li>Assists the individual in service in developing and/or strengthening natural support who will participate in care coordination activities.
</li><li>Maintains confidentiality of information concerning consumers and family members
</li><li>Duties and projects may be assigned or changed to meet business needs. Hours and shift assignments may be outside of normal business hours.
</li>Perform other duties as assigned. 
<li>
</li></ul> 
 
COMPETENCIES:
<ul><li>The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job.
</li><li>Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, excellent communication, and presentation skills.
</li><li>Ability to assess and organize complex information regarding an individual&rsquo;s goals in useable format that is clear to the individual and participating members of the therapeutic team (natural supports, internal and external providers)
</li><li>Knowledge of Social Drivers of Health and how to assist an individual in service in accessing necessary services.
</li><li>Clinical skill for evaluating accuracy of clinical screening and providing appropriate clinical intervention.
</li><li>Knowledge of Trauma Informed Recovery Planning, Harm Reduction, Motivational Interviewing and Person-Centered Approaches to Care
</li>Interpersonal skills to communicate and encourage collaboration among therapeutic team members. 
<li>
</li></ul> 
 
QUALIFICATIONS
 
EDUCATION AND EXPERIENCE:
<ul><li>Required: Bachelor&rsquo;s Degree in social work, psychology, criminal justice, or related human services field
</li><li>Minimum of 2 year of experience in behavioral health care, working with individuals with severe persistent mental illness and/or substance use disorders
</li><li>Strong knowledge base of Dallas County community providers and resources to include behavioral and physical health care, housing, transportation, employment/academic supports, and other social service agencies.
</li><li>OR
</li><li>Master&rsquo;s degree in psychology, Social Work, or related field.
</li>Preferred: Bilingual Spanish, experience with communicating with third parties and building rapport with community partners. Knowledge of Federal and State benefits available to client. LMSW or equivalent 
<li>
</li></ul> 
 
REASONING ABILITY:
<ul><li>Ability to carry out oral and/or written instructions.
</li><li>Ability to operate as a team member, yet able to make positive, individual judgments.
</li><li>Ability to assess the needs of consumers.
</li><li>Ability to recognize and report side effects of psychoactive medications.
</li><li>Ability to assess a potential crisis and ensure the delivery of services at the proper level of care.
</li><li>Ability to work collaboratively with co -workers.
</li><li>Ability to work in a high stress environment, take initiative and be creative.
</li><li>Ability to drive a multi-passenger vehicle.
</li>Ability to successfully use an automated clinical record keeping system. 
<li>
</li></ul> 
 
COMPUTER SKILLS:
<ul><li>Intermediate level on MS Excel, Email, and word processing programs
</li>Ability to utilize Internet for resources. 
<li>
</li></ul> 
 
CERTIFICATIONS, LICENSES, TRAINING, REGISTRATIONS:
<ul><li>TB Test, CPR, First Aid and SAMA to be provided within 30 days for hire.
</li><li>TAC web-based training
</li><li>Certified Community Behavioral Health Clinic Trainings completed within the first year of hire.
</li></ul>Benefits Information and Perks:
Metrocare couldn&rsquo;t have a great employee-first culture without great benefits. That&rsquo;s why we offer a competitive salary, exceptional training, and an outstanding benefits package:
<ul><li>Medical/Dental/Vision
</li><li>Paid Time Off
</li><li>Paid Holidays
</li><li>Employee Assistance Program
</li><li>Retirement Plan, including employer matching
</li><li>Health Savings Account, including employer matching
</li><li>Professional Development allowance up to $2000 per year
</li><li>Bilingual Stipend &ndash; 6% of the base salary
</li><li>Many other benefits
</li></ul>Equal Employment Opportunity/Affirmative Action Employer
 
Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free.
 
No Recruitment Agencies Please</div>

Community Care Coordinator

US Department of Veterans Affairs

Nurse - Community Care Coordinator

WakeMed

<div>
 
 Overview
 
 
 
 The Care Coordinator, Registered Nurse is assigned to a specific clinical care area, facilitating the plan for outpatient care by using a collaborative interdisciplinary approach. The Care Coordinator will focus on anticipation, integration and coordination of clinical care necessary to meet the needs of patients and to optimize clinical and resource outcomes. The Care Coordinator collaborates with the interdisciplinary team in assessing patient needs and developing the plan of care. The Care Coordinator acts as an advocate and resource for the patient, family, providers and department relative to compliance with federal, state and third party utilization management regulatory requirements.
 
 
 
 Department Description
 
 
 
 Serving the community since 1961, WakeMed Health &amp; Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
 
 
 EOE
 
 
 
 Licensure
 
 
 
 Registered Nurse Required
 
 
 
 Education
 
 
 
 
 Experience
 
 
 
 Graduate Nursing Required - And Bachelor's Degree Nursing Preferred
 
 
 3 Years Nursing - Related Area Required
</div>

Care Coordinator, RN

Appalachian Regional Healthcare

<div><h2 class="jobSectionHeader">Overview
</h2><div><div><div><div>The Care Coordinator will work with other medical professionals to provide the best healthcare possible to patients. This coordinated, team-based care will be provided to individuals through effective partnerships with patients, caregivers, families, community resources, and their physician with the Care Coordinator serving as the primary contact point, advocate, and resource. The Care Coordinator will work in collaboration and continuous partnership with the patient to ensure that the patient understands every aspect of their care and will promote adherence to a care plan developed in coordination with the patient, primary care provider, and family / caregivers. The Care Coordinator will connect patient to relevant community resources with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reduction health costs by managing relationships with tertiary care providers, transitions-in-care, and referrals. This individual will also work with administration to create policies and make decisions that are in the best interest of patients and will facilitate a shared goal model across settings of care to achieve coordinated high-quality care that is patient and family centered.</div>
</div></div></div><h2 class="jobSectionHeader">Responsibilities
</h2><div><div><div><ul><li>Promote timely access to appropriate care</li><li>
Increase utilization of preventative care, reduce emergency room utilization and hospital readmissions</li><li>
Provide medication reconciliation</li><li>
Assess patient&rsquo;s unmet health and social needs</li><li>
Develop a care plan with the patient, family/caregiver, and providers and monitor adherence to these care plans evaluating effectiveness, patient progress, and facilitating change as needed</li></ul><ul><li>
Facilitate patient access to appropriate medical and specialty providers</li><li>
Educate patient and family/caregivers about relevant community resources</li><li>
Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow up, and integration of information into the care plan regarding transitions-in-care and referrals</li><li>
Assist in the identification of high-risk patients</li><li>
Implement an effective internal tracking system for identified patients</li><li>
Promote health behaviors in all populations and ensure navigation assistance with community resources</li><li>
Ensure active tracking of test results, medication management, and adherence to follow-up appointments</li></ul>
</div></div></div><h2 class="jobSectionHeader">Qualifications
</h2><div><div><div><div>Education</div><div></div> 
Must be a current licensed Practical or Registered Nurse or Medical Assistant
or have obtained a bachelor&rsquo;s or master&rsquo;s degree in Social Work<div>
Minimum Work Experience</div><div>
2 + years of experience in a clinic, hospital, or quality management environment</div><div></div><div> 
Required Skills, Knowledge, and Abilities</div> 
<div></div><ul><li>
Ability to identify and implement appropriate patient communication strategies and overcome accessibility barriers</li><li>
Experience in, and sensitivity to, the unique dynamics of an integrated hospital system</li><li>
Exposure to and participation with health IT systems and data reports</li><li>
Demonstrated skills in planning, organizing, decision making, analytical thinking, and communication required</li><li>
Demonstrated skills in Quality Improvement and operational improvements (e.g. &ldquo;Lean&rdquo;) methods.</li></ul></div></div></div></div>

Care Coordinator

Complete Care at Fox Hill

<div>MDS Coordinator<ul><li>
Full Time</li><li>
Day Shift</li><li>
Must Have Active RN Registered Nurse Or LPN Licensed Practical Nurse License</li><li>
MDS Experience within a long-term care facility required</li></ul> 
Complete Care at Fox Hill is a pillar in the community of Vernon, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion.
Why work for us?<ul><li>
You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment.</li><li>
We are committed to your growth and success.</li><li>
Come join employees who have become family!</li><li>
Work today, get paid today!</li></ul> 
Now Hiring: MDS Coordinator RN LPN Clinical Reimbursement Coordinator 
Responsibilities:<ul><li>
Monitor and guide the completion of resident assessments in a timely manner.</li><li>
Involvement and supervision of inputting MDS assessments.</li><li>
Transmit MDS assessments to the state and obtain receipt of validation.</li><li>
Schedule and facilitate care plan conferences on a quarterly and annual basis.</li><li>
Other duties as assigned by Director of Nursing and Administrator.</li></ul> 
Qualifications:<ul><li>
Strong working knowledge of Case-Mix, Federal Medicare PPS process, and medical reimbursement required.</li><li>
Previous long-term care experience is required.</li></ul> 
License:<ul><li>
Must have an active RN Registered Nurse/LPN Licensed Practical Nurse for the state of CT</li><li>
RAC-CT Certification a positive; but not required</li></ul> 
Complete Care at Fox Hill is an equal opportunity employer.
Now Hiring: MDS Coordinator RN Registered Nurse LPN Licensed Practical Nurse Clinical Reimbursement Coordinator
#LI-GM1
#CC2024
5626
MDS Coordinator RN LPN Clinical Reimbursement Coordinator</div>

Clinical Reimbursement Coordinator MDS LPN RN

Hampton-Newport News Community Services Board

<div>Clinical Coordinator I, Juvenile Justice Services
Annual Salary: $51,253 + *$2,000 Sign-on Bonus*
Work Schedule: Monday-Friday 8:30 a.m.- 5 p.m.
Join the Hampton-Newport News Community Services Board's (H-NNCSB) Juvenile Justice Services program as a full-time Clinical Coordinator I and make a significant impact in the lives of at-risk youth in our community. This onsite role is perfect for passionate license-eligible professionals seeking to work in a supportive environment and receive supervision toward licensure as an LPC or LCSW.
You will be offered an excellent benefit plan that includes: Medical, Dental, Vision, Life Insurance, Flexible Spending Account, Competitive Salary, Paid Time Off, and the Virginia Retirement System. Take advantage of the opportunity to work in a dynamic, flexible atmosphere that prioritizes professional growth and a solid work-life balance. Be a part of an organization that values integrity, empathy, and excellence in every aspect of care.
Apply today to influence positive change in our community!<h3 class="jobSectionHeader">
A LITTLE ABOUT US</h3>
Since 1971, the Hampton-Newport News Community Services Board has provided a comprehensive continuum of high-quality, essential, and community-based services to citizens of the Peninsula who are living with mental illness, developmental disabilities, and substance use disorders.<h3 class="jobSectionHeader">
WHAT DOES A CLINICAL COORDINATOR DO?</h3>
As the Clinical Coordinator I in the Juvenile Justice Services program at Hampton-Newport News Community Services Board, you will play a pivotal role by providing clinical consultation to the Juvenile Court Services Unit. Your responsibilities will include screening, assessment, case management, treatment planning, crisis intervention, and coordinating referrals, ensuring that clients and their families receive the necessary behavioral health care. You will be instrumental in facilitating timely access to H-NNCSB's comprehensive continuum of services, ensuring that services are responsive to individual service plans.
Additionally, you will provide information about H-NNCSB services to the Juvenile Court Services Unit staff, enabling them to deliver effective and least restrictive care. Your expertise will contribute to meeting clients' identified needs compassionately and professionally, reinforcing the organization's commitment to excellence and client-centered service.<h3 class="jobSectionHeader">
WOULD YOU BE AN EXCELLENT CLINICAL COORDINATOR?</h3>
The knowledge and skills required for the position are:
<ul><li>Master's Degree in Social Work or Counseling with one (1) year of experience working with emotionally troubled children and affected families in a clinical setting.
</li><li>Knowledge and experience with DSM 5 diagnosing.</li><li>
Experience in case management functions.
</li><li>Must provide proof of registration for supervision toward licensure with the Virginia Department of Health Professionals (LPC or LCSW) within 90 days of employment.</li></ul><h3 class="jobSectionHeader">
CONNECT WITH OUR TEAM TODAY!</h3>
So, what do you think? If you can meet these requirements and perform this job as described above, we would be happy to have you as part of our team!
**Current H-NNCSB staff are not eligible for the sign-on bonus</div>

Clinical Coordinator

<div>
 
 Overview
 
 
 
 The Patient Flow Coordinator, RN assists in facilitating the admission, transfer, and bed planning process for patients within the WakeMed System. The Patient Flow Coordinator works with providers at outlying facilities to arrange transfers of patients into the WakeMed system and ensure a transfer plan for the appropriate bed type, level of care, and status is made for all unscheduled admissions. Collaborates with providers, emergency Department, OR/PACU, inpatient units, nursing leaders, and clinical administrators to ensure appropriate patient flow and bed planning throughout the system. The Patient Flow Coordinator will also ensure compliance with federal, state, and third-party utilization management regulatory requirements. The Capacity and Transfer Management Center provides direct coordination of internal patient flow and external transfers through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs.
 
 
 
 Department Description
 
 
 
 Serving the community since 1961, WakeMed Health &amp; Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
 
 
 EOE
 
 
 
 Licensure
 
 
 
 Registered Nurse Required
 
 
 
 Education
 
 
 
 Bachelor's Degree Nursing Required
 
 
 
 Experience
 
 
 
 5 Years Nursing - Acute Care Required 5 Years Clinical - Utilization Management Preferred 5 Years Clinical - Critical Care (ICU/CCU) Preferred
</div>

Patient Flow Coordinator, RN - Capacity & Transfer Management

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