Integrated Care Coordinator

Work for an employer who loves you back!

Cornerstone Care, a Federally Qualified Health Center (FQHC), with locations throughout Southwestern Pa., is seeking an Integrated Care Coordinator to join our team.

Make a difference as we seek those who want to assist us in fulfilling our mission: "To improve the health of our patients and the residents of our community, with special concern for the underserved."


Cornerstone Care has a long history of serving patients in our region and with over 28 million dollars in annual revenues. You can join a dynamic team of professionals where your contributions and voice make a difference.


We are the best family care center across Southwestern PA and Northern WV for affordable healthcare.


Cornerstone Care is seeking an Integrated Care Coordinator for our Greensboro location.


OSITION QUALIFICATIONS: Bachelors degree in Psychology or Social Work; Behavioral Health and/or Medical Clinical Experience.

KNOWLEDGE/EXPERIENCE/SKILLS: Must possess knowledge or experience in behavioral health as well as

basic medical knowledge. Previous outpatient clinic work experience preferred but not required.

DUTIES AND RESPONSIBILITIES:

A. Patient Care

• Assists in the detection of at risk patients who could potentially require further Mental Health and Substance Abuse screening during daily primary care team huddles
• Performs advanced screening of primary care/ psychiatry / counseling patients for various Mental Health and Substance Abuse Disorders
• Provides a range of services including screening for social determinants of health, substance abuse, connecting patients with a need to the appropriate services for them, assessing barriers to completing treatment plans; And/or common conditions, assessments and interventions related to chronic disease management.
• Performs brief behavioral and cognitive interventions and conducts motivational interviewing to develop behavioral strategies aimed at symptom reduction
• Provides psychoeducation and/or medical education materials for patients and their support systems
• Triages patients with severe or high-risk behavioral health or substance abuse issues and refers such patients to mental health and substance abuse specialists as appropriate
• Facilitates and oversees referrals to outpatient and inpatient treatment programs and supports a smooth transition into treatment
• Performs brief, limited follow-up visits for selected patients and contacts patients post hospitalization when appropriate
• Assists in preventing relapse or morbidity in conditions that tend to recur over time
• Assists patients with medication adherence and disease self-management techniques as needed
• Provides consultation to Primary Care or Behavioral Health Providers both onsite and by phone to enhance understanding of the patient and provide decision support for treatment planning and symptom monitoring
• Maintains a visible presence in the Community Health Center and participates in clinical staff meetings and Quality Improvement activities as required

B. Training:

• Educates Primary Care Team in recognizing and treating Mental Health and Substance Abuse disorders using basic principles of brief behavioral and cognitive interventions
• Assists in training the Medical Assistants and Primary Care Providers to feel more comfortable handling crisis situations and possible suicidality
• Assists in training the Psychiatry and/or Medical Assistants on making referrals for treatment when the Clinical Specialist is not available.
• Assists in training the Psychiatry and/or Medical Assistants and Primary Care Providers in Mental Health laws and regulations

C. Administrative

• Reports quality improvement measures required for Grants, UDS and Meaningful Use
• Aids in capturing program evaluation and fidelity measures
• Participates in the Quality Management Program and Policies and Procedures of the Psychiatry and Counseling Department, maintains performance improvement standards, policies, and procedures that ensure safe and therapeutically effective and preventative mental health care and continuity of that care for patients and their families.

Cornerstone Care is a Non-Profit, Federally Qualified Health Center with 14 locations and a mobile unit, serving communities throughout Southwestern Pennsylvania, and Northern West Virginia. Our mission is to improve the health of our patients and all the residents of the communities we serve, with special concern for the medically underserved and low-income populations.

Cornerstone Care offers: Medical insurance, dental and vision coverage, life insurance, long-term disability insurance, 403 B retirement, flexible spending accounts for medical and dependent care, credit union, and a variety of additional voluntary benefits as well as a generous time off package.

Cornerstone Care, Inc is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, age, national origin or disability, sexual orientation, gender identity and expression.