Lead Care Coordinator - Health Homes

Care Coordinator LeadColumbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the communities of SW Washington. We are the largest and oldest not-for-profit provider of mental/chemical dependency treatment in southwest Washington with 200 employees and a history dating back to 1942.Our Mission: Providing behavioral health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington.Serve as a Care Coordinator Lead for the Health Homes Department.Care Coordination services are provided to individuals referred by their Health Home or Managed Care provider as the result of one or more chronic health conditions. Services include Intensive Home Health Care Coordination, Low Level Care Coordination, Outreach and Screening, as well as completion of a Health Action Plan to assist individuals to receive care coordinated in a manner that will increase health plan compliance, improve health outcomes and reduce hospitalization.Community Outreach responsibilities include maintaining on-going relationships with other community agencies that would refer to CRMHS for clinical services or would provide ancillary services to CRMHS clients. This includes individual and team meeting attendance as well as presentation to community groups including contract and governmental organizations as well as non-profit and health care clinics.Care Coordinator Lead Duties include but are not limited to:Provide training and coaching to the teamProvide Assistant Manager and Program Director with regular updates related to coaching provided by the team leadAt least 75% of the times working in direct service of clientsConduct monthly monitoring of project goals and outcomesCollect and manage data for reporting and billingAttend internal and external Lead meetings as requiredMOC duties as assignedThe Care Coordinator Lead will work closely with contracted Health Homes and Health Plans to provide community-based services to improve overall health outcomes for individuals with a chronic health condition.(Services Provided by Care Coordinators include but are not limited to the following)Initial contact and screening (to include several assessments) on all referred individuals utilizing appropriate tools and motivational interviewing techniquesAssistance to participants on navigating the healthcare systemEducation on self-management health toolsCoaching for participant/family to ensure he/she/they understand(s) the Health Action PlanAssistance to Participant/family on accessing community support groups and wellness education programsCoordinating and mobilizing treating and/or authorizing entitiesActively managing referrals for services including when appropriate:Facilitating same-day servicesScheduling appointments on the Participant’s behalfArranging Participant transportation to appointmentCommunity Outreach activities require organized and targeted contact with community partners. This includes marketing activities and coordination of care. Ability to create materials and presentations to individuals and groups regarding services available.Minimum Qualifications:Approximately 1-2 years of experience in the social service field with mental illness or chemical dependency preferred.Bachelor's degree in Social Work, related field (preferred)Skills and Abilities:Strong verbal and written communication skills with the ability to engage individuals experiencing serious mental illness, substance use disorders, homelessness, and criminal legal system involvement.Strong customer service orientation with a commitment to person-centered, recovery-focused care.Ability to establish and maintain collaborative relationships with clients, families, healthcare providers, housing providers, criminal justice partners, and community organizations.Demonstrated assessment, critical thinking, de-escalation, and problem-solving skills.Ability to work independently in community settings while maintaining effective communication with the treatment team.Strong organizational skills, time management abilities, and attention to detail.Ability to manage multiple priorities in a community-based behavioral health environment.Flexible, adaptive, and responsive to changing client and program needs.Physical Requirements:Ability to stand, walk, bend, and remain active for extended periods during community outreach and client visits.Ability to drive and travel frequently throughout the service area.Ability to lift and carry up to 25 pounds occasionally.Manual dexterity sufficient to operate medical equipment, collect specimens, administer injections, and utilize computer systems.Ability to safely navigate community-based environments, including housing sites, shelters, hospitals, and correctional facilities.Work environment includes office, clinical, and community settings with potential exposure to infectious materials and behavioral health crises.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.EQUAL OPPORTUNITY EMPLOYERCRMHS is committed to building an equitable and inclusive workplace where people from all backgrounds belong and thrive, and a culture that encourages, supports, celebrates and centers the diverse voices of our employees & clients. We believe that diversity is multivariate and includes race, ethnicity, gender & gender identity, sexual orientation, age, veteran status, disability, citizenship, national origin, familial status, genetics, religious beliefs, socioeconomic class, physical status, neurodiversity and parental status.