Nurse Care Navigation Coordinator

Job Description

Job Description

Description:

Zepf Center has been serving the Lucas County community for over 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career development and wellness services. Zepf Center also offers primary care medical services to our patients to contribute to their continuum of care. Zepf Center is a trauma-informed agency and environment for both patients and staff.

General Summary:

The purpose of this position is to improve patient outcomes for prenatal and postnatal patients with opioid use disorder through education programs, treatment, case management, linkage to programming both internally and externally, coordination of care and assessments. The Care Navigation Coordinator will assist these patients to improve their overall functioning with identification of strengths, weaknesses, abilities and preferences in order to attain future goals

Essential Duties and Responsibilities:

• Provide patient education and treatment access for patients using SBIRT (Screening, Brief Intervention and Referral to Treatment model)
• Maintain internal and external contacts including community-based organizations to help support diverse patient needs
• Serve as the liaison between the hospital and the Zepf Center for both the patient and the baby
• Coordinate multidisciplinary team meetings that support patient needs, and develop a plan of care that best serves the needs of the individual patient
• Assess, link, monitor, advocate and case plan for the patient
• Knowledge of current federal, state and county reporting guidelines for substance-exposed infants
• Match treatment response to each woman’s’ stage of recovery and /or readiness to change
• Collect and maintain data necessary for reporting and compliance activities that provide pertinent reporting as needed
• Coordinating with the authorizing and health care or social service entities as necessary to maintain and support the patient's goals.
• Facilitate successful transition of care from community partners to inpatient services and MAT outpatient settings based on the level of care needed
• Coordinate scheduling of Zepf patients to OB/GYN services with ProMedica
• Document patient progress and recommendations in the EHR; all in person and telephonic encounters with also be documented
• These services shall be provided in either a community or home setting
• Document and bill for all program as allowed according to the agency’s established deadlines
• Assist with co-facilitation of weekly groups
• Perform other duties as assigned

Specific/Individual Competencies:

• Demonstrate flexibility
• Be self-directed, working with minimal supervision required
• Ability to write clear, concise, accurate notes, data collection, outcome reporting and compliance with laws and standards of confidentiality
• Must have the necessary skills and abilities required to comfortably and effectively working with patients, and be responsive to their mental and physical needs
• Ability to maintain licensure/credentials

Organizational Competencies:

• Demonstrate knowledge of the agency mission, vision, goals and philosophy as well as the policies and procedures
• Integrate Sanctuary principles and language into working environment
• Strives for high client satisfaction by providing leadership and/or assistance to coworkers and clients through the integrated care process
• Demonstrate professionalism and teamwork

Position Qualifications:

• LPN or RN required, bachelor’s degree in nursing, social work, community health, or a related field preferred
• 3-5 years of related experience required
• Chemical Dependency licensure preferred
• Must have a valid driver's license and insurance.
• Preferred knowledge of OMHAS, DEA and CARF standards
• CPR and First Aid trained, and Crisis Prevention (CPI) trained

Those eligible to drive company vehicles must have a valid driver's license and be eligible for coverage as defined by the agency commercial insurance carrier. Those who drive personal vehicles in the course of business must be able to provide proof of insurance.