Family Practice & Counseling Network Hiring for Care Coordinator at Ardmore, Pennsylvania Full Time

Reference #: LMCSCARECORD07202301
Care Coordinator
  
  Description/Job Summary

RHD’s Lower Merion Counseling and Mobile Services is hiring for a FULL TIME Care Coordinator with a sign-on bonus of $1,500! The work hours can be flexible, but this position is typically a Monday-Friday work week.
A Care Coordinator will function as the connection between the health care system and community resources to coordinate efforts that support the person in achieving their goals, improving their quality of life in the community. The LMCMS Care Coordinator is responsible for organizing care activities and sharing information among all the relevant stakeholders for our participants’ care, in order to achieve safer and more effective treatment outcomes. This includes collaborating with hospitals, primary care physicians, medical specialists, residential and D&A facilities in order to assure the well-being of individuals in our care. Further, a Care Coordinator is responsible for working with a LMCMS participant to increase/enhance their social and natural supports in the community, to promote positive outcomes.
Care Coordination is a person-centered approach that strives to meet the needs and preferences of individuals while strengthening the caregiving capabilities of families and service providers. This work not only improves the person’s experience of care, but can help improve health outcomes in collaboration with the rest of the team.
The Care Coordinator will work on site and in the community. There is a 40 hour work week that may include occasional evening work or weekend work. The daily schedule is to be arranged in conjunction with the Director or supervisor.
  
  Responsibilities/Duties

Coordinates care across the spectrum of health services, including behavioral and physical health care, as well as social services, housing, educational systems, and employment opportunities as necessary to facilitate wellness and recovery of the whole person.
Partner with the individuals receiving services, family members, and providers to ensure that individuals have current physical and preventative care. When necessary, assist the behavioral health team in supporting the work of physical health providers to improve health outcomes.
Collaborate with RHD program staff and outside providers to coordinate care (i.e. Local area Hospitals, PCP’s, Specialists. Residential and D&A treatment facilities) and utilize individual profiles and coordinate with PH-MCO (Physical Health Managed Care Organization) to ensure individuals have current physical and preventive screenings.
Identify barriers to treatment with participants, assist individuals in problem solving potential issues related to the health care system, and proactively identify individuals who have multiple or complex medical, social, and/or psychosocial needs or individuals who are at risk of developing complex needs during an acute episode of illness.
Support individuals in their recovery journey and facilitate coordination of integrated health working with the member on identifying PCP and/or providing resources of local area PCP’s for an individual.
Operate as an advocate for our participants and their families with physical health specialists, external service providers or internal support teams at LMCMS. Support the focus of clinical staff on the delivery of medical care to maximize quality of life and ensure that care is provided in the most appropriate and supportive setting.
Increase individual and provider satisfaction through the coordination and management of health care resources.
Serve as an educator of all stakeholders, including the health care team and the community regarding the care coordination process and specific health related issues.
Through regular, systematic review, ensure thorough analysis of each participant’s care and ensure they are linked with all available resources.
Review compliance of individual treatment plans wi h outpatient and mobile teams as needed and assure plans support across settings.
Coordinate treatment/discharge planning activities for individuals admitted to inpatient care; ensure follow-up appointments are kept upon discharge and complete a clinical review for the admission to identify needs to prevent deter/ future admissions.
Maintain a 48 hour standard for contact.
Connect with all applicable resources, this involves not only making referrals but assessing the person’s ability to follow through when needed with skill development, advocacy or other forms of concrete support.
Engage with individuals and hospital social workers within 24 business hours of referral to coordinate treatment/discharge planning (this includes scheduling follow up appointments, addressing barriers to those appointments and making sure that the overall plan is complete and needed supplies and medications are available).
Review individual cases at weekly care coordination meetings to develop planned approach to challenges, identify communication needed to other team members (in and out of the organization).
Work with individuals in person, over the phone, and virtually to remind and review their plan of care and progress towards their goals. Follow through on plans, address barriers and challenges together and set small next steps before next contact.
Work collaboratively with other team members to provide care management services for high needs individuals.
Facilitate the health insurance application and enrollment process for eligible uninsured clients
Facilitate for doctor-to-doctor consultations and communicate outcomes of primary care and specialty visits to team to support coordinated care.
Assist individuals with the scheduling of preventive care screening and monitoring of key health indicators and health risk; provision of vaccinations where indicated
cardiovascular health
diabetes
tobacco use
Update/respond to weekly and monthly reporting requirements.
Take on personal development and building a learning environment.
  
  Required Experience

2 years working in Community Mental Health and knowledge of local mental health systems.
Experience working with multidisciplinary team including psychiatrists, medical assistants, therapists, and mobile supports.
Experience working with integrated health coordination preferred.
Experience working in an Outpatient setting and experience working with individual with serious mental health issues preferred.
Comfortable making connections with local providers (hospitals, primary care/specialist doctors offices).
  
  Required Education

Bachelor’s Degree Required
Master’s Degree in the Human Service field preferred
  
  Required Qualifications

Valid driver’s license and reliable mode of transportation. Must be willing to travel off site.
Comfortable with Microsoft Office (Word, Excel, Outlook).
Experience with Electronic Health Records preferred.
Team Player.
Good communication skills.
Strong time management skills.

Program Summary

Lower Merion Counseling and Mobile Services provides community-based outpatient mental health therapy for individuals and groups, psychiatric services, mobile services to children, adolescents, adults, and families, and supports the physical wellbeing of its individuals in service.  LMCMS is an Integrated Community Wellness Center (ICWC).
Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to ra