N00126 – Care Coordinator
The Care Coordinator will operate as a member of the multidisciplinary treatment team by working closely with clinical, business development, admissions, and nursing staff. The Care Coordinator will maintain collaboration and coordination between internal treatment team and external constituents, providing a high level of customer service and satisfaction amongst everyone with whom they interact. A main goal of this role is to foster positive relationships between the sites and all external stakeholders. Further, they will coordinate continued care following inpatient treatment to include scheduling all appointments and communicate with all collateral supports (referral sources, family, etc) regarding appointments. The Care Coordinator is responsible to ensure the patients feel ready and understand fully their plans following inpatient treatment. This includes making a connection between the patient and next level providers prior to discharge. The Care Coordinator will also assist patients with any outside issues or external stressors that need to be resolved, enabling patient to focus on treatment (ex, coordinate with family for childcare, call work, pay bills, etc). In summary, the main goal of this position is to improve communication with everyone inside of our patient’s ecosystem for the purposes of improved patient care and increasing awareness of the superior care delivered by RCA within the greater community. Through this process, RCA will see increased organic referrals and be the provider of choice within our local communities.
- Complete Releases of Information for all stakeholders in patient’s ecosystem (patient support system, referents, existing treating providers, PCP).
- Gather patient history, needs, and special requests to inform treatment plan from all stakeholders
- Communicates to clinical team information from all outside constituents to inform treatment planning
- Follow all referent protocols
- Assesses the need for FMLA and Short-term Disability for referral to Financial Counselors
- Complete all ongoing communication with referents throughout treatment and upon discharge
- Review Biopsychosocial assessment, identify all life domain needs, incorporate these identified needs into the Continued Care Plan to ensure patient has follow up for each identified need.
- Confirm all appointments on continued care plan address all of the following: substance use, mental health, MAT, and all other identified life domains
- Keep family and all external constituents informed of transition planning as it evolves throughout treatment
- Ensures all continued care plans are solidified 1 week prior to discharge
- All efforts must be made to schedule appointments with in network providers
- Facilitate Transition of Care meetings prior to discharge date to review and confirm next step plans with all key stakeholders
- Send all Continued Care Plan documentation to receiving treatment providers
- Document regularly in the medical record ongoing progress towards care coordination treatment goals.
- Act as an advocate for all patients when working with external providers and speaking on their behalf
- Work collectively with the clinical team to engage, educate, and coordinate patient care with the patient, their identified supports, and community providers to ensure all services prescribed are implemented prior to treatment completion.
- This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Education and Experience:
- Bachelor’s Degree in a social work field or equivalent combination of education, training, and/or experience preferred
- Minimum of one (1) year experience in Behavioral Health, Substance Abuse Treatment, or Psychiatric setting
- Preferred knowledge of healthcare, detoxification process, addiction and co-occurring disorders, DSM and ASAM criteria, and terminology surrounding all of the above
- Ability to read and interpret written information; write clearly and informatively; and edit work for spelling and grammar.
- Ability to speak clearly and persuasively in both positive and negative situations; listen and obtain clarification when necessary; respond well to questions; demonstrate group presentation skills and actively participate in team meetings
- Working knowledge of Microsoft Programs (Word, Excel, and Outlook)
Job Knowledge: understands duties and responsibilities, understands company mission/values, knowledge of community resources, ability to network and form working relationships with community providers, willingness to engage in continuing education to keep job knowledge current, ability to utilize and navigate an electronic medical record
Communication: communicates well both verbally and in writing; creates accurate and punctual reports; delivers presentations clearly and efficiently; shares information and ideas with others; demonstrates good listening skills; ability to work directly with patients, families, and community providers
Problem Solving: ability to identify problems and conduct appropriate analyses to obtain the best solutions; involve treatment team members in seeking solutions to identified problems; respond quickly and appropriately to newly identified challenges
Time Management and Organizational Skills: ability to work with a diversity of patients with various different needs at various stages of life while adhering to all state and federal guidelines;
Decision Making: use effective approaches for choosing a course of action, developing appropriate solutions, and/or reaching conclusions; implement action plans consistent with available facts, constraints, resources, and anticipated consequences; demonstrate confidence in the work done to manage challenging situations
Collaboration: must be able to work in collaboration with other professionals and leaders across several disciplines, ability to motivate treatment team towards discharge planning when appropriate and obtain recommendations for ongoing treatment
Work Environment: May work in a variety of environments including professional offices, clinics, hospitals, or out-patient facilities. They spend much of their time on their feet, actively working with patients.
Physical Demands: While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands to finger, handle or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move objects up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus.
Travel: Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected
Job Location: Recovery Centers of America at Monroeville – 2380 McGinley Road, Monroeville, Pennsylvania 15146