$58,000/year Salary! Bachelor's Degree in Social Services Required.
Up to 34 Paid days off 1st year!
Full Benefit Package!
Hope Team provides integrated medical and behavioral health care to high risk
SMI clients in a community based setting. Position provides advocacy, linkage,
referral, individual and group education, resource acquisition services, and
care management services to clients in Hope program in a culturally responsive
way. Provides a point of contact and work in partnership with Hope staff and
partners as part of a multidisciplinary team to provide integrated medical and
behavioral health care. Position will provide services in office, in the field,
embedded at Crisis Care Center, and tele-behavioral health to adults with mental
health, substance use and physical health issues and needs.
DUTIES AND RESPONSIBILITIES:
• Provide comprehensive Care Coordination and Case Management services with a
special focus on adults.
- Services are community and office based.
- Coordinate care across the spectrum of health service, including access to
high-quality physical (both acute and chronic) and behavioral health care.
• Include the client and family members in comprehensive treatment planning.
With the adult consumer’s consent, encourage participation of family members and
other designated persons in treatment planning and care.
• Schedule, coordinate, facilitate weekly treatment team and participate in
daily huddles.
- Streamline plans of care across the Care Team.
- Coordinate care with external health care providers such as pharmacies, PCPs,
FQHCs, and DCOs, as well as with behavioral health referrals. Assist consumers
and their families with obtaining and keeping referral appointments to outside
providers.
• Participate in initial treatment plans, strengths and culture preferences, and
intakes as needed. Update and modify wrap plans as needed.
• Provide individual, family, and/or group services that include screening,
coordinating, planning, advocacy, linkage, referral, education, crisis
intervention, resource acquisition, and monitoring in a culturally sensitive
way.
• Track consumers’ admissions and discharges from psychiatric & medical
hospitalizations.
• Participate in hospital and emergency department discharge processes to
transition consumers to a safe community setting according to CCBHC protocols.
Ensure timely transfer of medical records, prescriptions, and active follow-up.
• For consumers at risk for suicide, coordinate consent and follow-up within 24
hours and implement a continuing plan for suicide prevention and safety and
linking to services.
• Accompany individuals to medical appointments. Link to non-medical enabling
functions and provide assistance with community resources such as housing,
social services, education, and employment to facilitate wellness and recovery
of the whole person.
• Monitor individual health status and service use to determine adherence to or
variance from treatment guidelines.
Develop and maintain housing resources for clients experiencing homelessness,
including application processes and requirements, document submission,
disability application process and submission. May also include outreach to
clients in the community
QUALIFICATIONS: Requires Bachelor’s degree in social work or equivalent
education. ODMHSAS CMII certification preferred.
SKILLS AND KNOWLEDGE: Must obtain Case Management II Certification and
Behavioral Health Wellness Coach certification upon hire.
TRAVEL AND SPECIAL REQUIREMENTS: Must possess Driver License and use personal
automobile for local travel. Must transport clients in personal automobile.
[Mileage reimbursement provided*]
CCBHC Model of Care
Family & Children’s Services works to heal hurting and abused children,
strengthen families, and provide hope and a path to recovery for those battling
mental illness and addiction. You will be working in an innovative and dynamic
environment using a new transformative model of care Certified Community
Behavioral Health Clinic (CCBHC). This model is characterized by innovative,
team-based approach and whole person care for adults and children with a range
of complex mental health and substance use challenges.
Utilizing multi-disciplinary teams, staff work collaboratively to provide a
coordinated effort to enhance client recovery. Robust CCBHC services often
result in better client outcomes and quality of care due to:
- Increased access to care and crisis services
- Expanded traditional community mental health and substance use services.
- Added Care Coordination and physical health screening for mental health
clients
4. Greater access to Social Services for clients’ economic and social needs
5. Increased specialized services for veterans, those most in need, and those
impacted by the opioid crisis.
Drug Free Workplace Policy
This job is classified as a "safety-sensitive" position as defined by the
Oklahoma Medical Marijuana and Patient Protection Act. Possession of a medical
marijuana license will not exclude any applicant; however, all employees are
subject to the Family & Children's Services Drug Free Workplace Policy.
