Care Coordinator

Bachelor’s Degree in a Human Service field required.  West Virginia Social Work License preferred.   Experience in behavioral health preferred.  

Valid driver’s license and vehicle required.  Must pass a Criminal Background Check and Employment Fitness Determination through WVCARES and a drug screen.  Demonstrated knowledge of basic computer skills required. 

ESSENTIAL FUNCTIONS:

1. Perform an initial or reassessment evaluation to determine the needs, strengths, functional level(s), mental status, and/or social history of assigned individuals.
2. Provide outreach to clients to facilitate their participation in services and offer additional support so they can engage in treatment and live successfully in the community.
3. Collaborate with Case Managers to connect clients to community services, including medical, behavioral, residential, entitlement, and/or any other needed services per interdisciplinary care plan.
4. Complete follow-up and tracking with Case Managers and outside agencies/organizations to ensure the client is receiving proper treatment services, in and outside of the behavioral health setting.
5. Coordinate care planning with other providers of services/resources to ensure goal-directed, collaborative care.
6. Provide education on the client’s physical and/or mental health condition(s) and ways to live a healthy life.
7. Accompany clients to medical and/or other appointments to facilitate their engagement and follow through as needed.
8. Track all referrals and transitions made to internal and/or external providers and agencies.
9. Provide individuals (and families) with information about referrals made to internal and/or external providers and agencies.
10. Address barriers to referrals through direct communication with internal and/or external providers and agencies.
11. Follow-up on missed appointments with internal and/or external providers.
12. Identify barriers that affect the person’s ability to adhere to treatment.
13. Assemble/assign the appropriate team of health care professionals and team members.
14. Assist the client in navigating a network of providers.
15. Facilitate appropriate and timely communication between care team members.
16. Function as a resource to team members on community partners/services.
17. Provide supportive behavioral health counseling to maintain client progress towards identified goals and to assist in day-to-day management and problem solving as needed.
18. Submit the appropriate required information to Seneca’s UM Department to ensure all services are authorized prior to service.  Follow-up on authorizations as needed.
19. Assure quality service for clients by becoming knowledgeable of and adhering to rules, regulations, and legal requirements and by documenting services provided in accordance with established standards.
20. Secure information by adhering to HIPAA and 42 CFR Part 2 regulations and Seneca privacy policies and keeping client information confidential.
21. Represent Seneca in a positive manner including maintaining a positive attitude and performing duties in a manner in accordance with Seneca’s Mission and Code of Conduct and Ethical Practices.
22. Other duties as assigned by supervisor.

Minimum Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

While performing the duties of this job, the employee is frequently required to sit; use of arm, hand and finger dexterity, including ability to grasp, and visual acuity to use a keyboard.  The employee is occasionally required to stand; walk; reach with hands and arms; climb stairs; balance; bend or crouch; talk and hear; and drive a motor vehicle.   The employee must occasionally lift and/or move up to 20 pounds.  Specific vision abilities required by the job include close vision and distance vision.

This job description reflects management's assignment of essential functions; it does not restrict the tasks that may be assigned.