This position reports directly to the Supervisor – BH Care Coordination but will work closely with an assigned department within the BH division that is subject to change based on program needs. This position will perform care coordination and outpatient behavioral health services to individuals in services across the entire LifePath system of care.

This position maintains a caseload. This position uses initiative and a passionate commitment to provide care coordination to individuals in services to ensure their success in recovery. Care Coordination responsibilities include ensuring individuals receive timely access to quality care, working with the entire LifePath Systems team and other community organizations to identify needs and reduce barriers to care. Must be effective at troubleshooting and organizing support, interventions, and services to achieve outcomes. The Care Coordinator will ensure a seamless transition for individuals receiving services across a full spectrum of health and social services, provide referrals internally and externally as needed to meet needs of individuals, and will ensure that all gaps in care are reconciled within a trauma-informed, person-centered model of care. Other duties may be assigned as needed.

This position exemplifies service excellence by providing care coordination with a trauma-informed and person-centered approach.

This position practices good stewardship of resources by ensuring all required trainings are completed prior to due date and center-issued equipment is kept in good repair.

Integrity is necessary to ensure adherence to the Health and Human Services Commission, Texas Administrative Code, contracts, Substance Abuse and Mental Health Administration (SAMHSA) grant, other applicable grants, and Lifepath Systems policies and procedures. This position will work closely with Adult Fidelity managers to ensure that all gaps are reconciled.

This position builds positive relationships with community-facing agencies and always maintains a professional relationship with all community stakeholders and partners. This position demonstrates professional conduct with Peers, Leadership and Support teams at all times.

Working independently and collaboratively to maintain appropriate boundaries and foster better outcomes for individuals served and community partners and facilitating improvement in measurable ways, is central to LifePath Systems mission to serve. This position must have the ability to assess and de-escalate behavioral health crisis situations in calm and respectful manner.

Specific Targets: Ensure that 100% of individuals assigned to the Certified Community Behavioral Health Clinic – Improvement and Advancement (CCBHC-IA) caseload receive a consent to project participation, an admit and reassessment/discharge NOMS, are offered a satisfaction survey at 6 months, and receive 2 contacts per week as needed to ensure connections to appropriate and available services. Ensure that 75% of individuals assigned to the CCBHC-IA caseload are connected to a CM within 14 days of a new intake or case assignment, are connected to a prescriber within 30 days of a new intake or case assignment, are connected to SUD services (if applicable) within 14 days of identified need and remain fully engaged based on LOC for the 1st 6 months of NOMS period. Responsible for assessing need for client support funds. 90% of service notes are signed within 2 business days of service. 75% of full chart reviews receive a score of 80 or higher in following the Golden Thread. All required trainings are completed prior to due date.

• Bachelor’s degree in psychology, social work, or related field from a four-year college or university.
• CCBHC knowledge and experience required.
• Experience in Texas Recovery and Resiliency (TRR) required
• Knowledge of Trauma-Informed Care Practices required.
• Must have reliable transportation and a valid driver’s license.
• Experience providing psychosocial assessments, treatment planning, case management, service coordination, skills training, crisis intervention and symptom management services to individuals with serious mental illness or serious emotional disturbance.
• Ability to assess individual needs, to coordinate services, and to communicate effectively.
• Knowledge of the social services system and the ability to connect individuals with appropriate services.
• Ability to write clearly and professionally on all services and internal communications.
• Ability to think clearly and logically while dealing with potentially dangerous and/or emotional situations.
• Ability to respond to individuals with patience, empathy and understanding.
• Organized, detail-oriented, and computer-proficient.
• Ability to demonstrate strong multi-cultural competency.
  
  

Bilingual (English/Spanish) preferred.