AOT Care Coordinator & Mental Health Clinician Liaison

The Centers; Cleveland (OH); On-site; USD 60,000 - 75,000; Full time

Job summary

The Centers in Cleveland, OH is seeking an AOT Care Coordinator to oversee the agency's Assistant Outpatient Treatment program. You will serve as a key link between referring hospitals, agency staff, and probate court to coordinate care for clients and complete mental health assessments during referrals.

Reporting to the East Clinical Director, you will educate hospital partners on the AOT process, coordinate timely assessments and follow-up after discharge, ensure ROIs, and collaborate with

Qualifications

• Master's degree in social work required.
• Active LSW license in the state of Ohio.
• Experience working with clients with serious and persistent mental illness (SPMI).

Responsibilities

• Collaborate with hospitals to educate on the AOT process and workflows to access internal services.
• Coordinate timely mental health assessments when hospitals refer a client to AOT.
• Ensure ROIs are completed to coordinate care post-discharge.
• Maintain up-to-date discharge information and follow up with clients post-discharge.
• Schedule and complete a follow-up appointment within 7 days of discharge and provide education on AOT.
• Coordinate with probate court and AOT liaison on enrollment and case management.
• Arrange monthly status hearings for each AOT client with Center’s case managers and AOT liaison.
• Track expiration dates and coordinate with psychiatry for recommitment letters and hearings.
• Lead treatment team meetings when recommitment is uncertain and prevent gaps in care.
• Collaborate with staff to prevent clients from falling through the cracks and perform outreach for missed appointments.
• Coordinate with local police districts for detention orders as needed and provide trauma-informed counseling.

Education

Master's degree in social work

Job description

The Centers in Cleveland, OH is seeking an AOT Care Coordinator to oversee the agency's Assistant Outpatient Treatment program. You will serve as a key link between referring hospitals, agency staff, and probate court to coordinate care for clients and complete mental health assessments during referrals.

Reporting to the East Clinical Director, you will educate hospital partners on the AOT process, coordinate timely assessments and follow-up after discharge, ensure ROIs, and collaborate with