Assisted Outpatient Treatment Care Coordinator

The Centers; Cleveland (OH); On-site; USD 50,000 - 70,000; Full time

Job summary

The Centers in Cleveland, OH seeks an AOT Care Coordinator who will oversee the Assistant Outpatient Treatment program. This role connects referring hospitals, agency staff, and probate court to ensure seamless patient care.

The position requires coordinating referrals for mental health assessments, supporting ongoing counseling, and keeping discharge plans coordinated with all parties involved.

Qualifications

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

Responsibilities

• Provide collaborative oversight of the AOT program and coordinate care between hospitals, agency staff, and probate court.
• Coordinate mental health assessments for referred clients and provide ongoing clinical counseling.
• Educate hospital systems on AOT processes and workflows to access internal services.
• Ensure ROIs are completed and schedule follow-up appointments within seven days of hospital discharge.
• Coordinate with probate court, psychiatry staff, and case managers to schedule recommitment hearings when needed.

Skills

Clinical acumen

Communication

Organization/time mgmt

Teamwork

Flexibility

Education

Master's degree in social work

Job description

Job Summary

Reporting to the East Clinical Director, the AOT Care coordinator will provide collaborative oversight of the agency's Assistant Outpatient Treatment program. The AOT care coordinator provides a key link between referring hospitals, agency staff, and probate court, to coordinate care of clients. The AOT care coordinator completes mental health assessments of individuals being referred to the AOT program while also providing ongoing clinical counseling.

Essential Job Duties & Responsibilities

• Work closely with hospital system to educate them on the AOT process and effective workflows to access internal services.
• Coordinate with hospital system when hospital is referring a client to AOT to schedule and complete a mental health assessment on the hospital unit.
• Ensure all necessary ROIs are completed to effectively coordinate care post-discharge.
• Continue coordination with hospital staff following completion of MHA to stay up to date on discharge date and location, for timely follow-up with client post-discharge. Obtain discharge paperwork from the hospital.
• Complete a follow-up appointment with all AOT clients within 7 days of hospital discharge. During appointment, monitor client’s mental health status and provide education around AOT program to client.
• Work closely with Cuyahoga County probate court and their AOT liaison.
• Provide AOT liaison with updates around enrollment into Center’s programs and case management assignment post completion of mental health assessment.
• Coordinate between Center’s case managers and AOT liaison to ensure that a monthly status hearing is scheduled and completed for each AOT client.
• Ensure accurate expiration dates are known and tracked for each AOT client.
• Coordinate with psychiatry staff to ensure letters of recommitment are submitted atleast 10 days before expiration date. From there, coordinate with Center’s staff and probate court to schedule a recommitment hearing.
• Coordinate and conduct treatment team meetings when there is uncertainty if a client should be recommitted to AOT.
• Collaborate internally with staff working with AOT clients to help manage clients from “falling through the cracks”.
• Assist in providing timely outreach to clients who have missed appointments with their care team.
• Collaborate with local police districts when orders of detention are submitted by probate court to ensure timely issuance of the order.
• Providing mental health counseling using evidence based and trauma informed approaches

Qualifications

• · Education: Master's degree in social work
• · Licensure: Active LSW license in the state of Ohio
• · Experience working with clients with SPMI

Core Competencies

• · Clinical Acumen: Developed knowledge of mental illness, substance use disorders, various therapeutic modalities, and related community resources; Strong clinical intervention. Keeps accurate and appropriate records/documentation. Displays a non-judgmental attitude.
• · Communication: Able to communicate in clear language and to adjust one’s use of language to the audience’s level; able to clarify vague and obscure discussion by pointing out the main issues; able to simplify other people’s complicated language and reduce digressions; uses imagery to clarify their viewpoint; estimates accurately what kind of language and stile are appropriate in various situations
• · Organization & Time Management: Organizes work, effectively prioritizes, and sets short- or long-term goals and strategies to achieve them. Aligns communication, people, processes and resources to drive success. Organizes information and data to identify/explain trends, problems, and their causes.
• · Teamwork & Collaboration: Contributes to common goal, maintains open communication with team members, asks for help when necessary, encourages involvement
• · Flexibility: Adapts effectively to change by accepting changes in processes readily and with an optimistic perspective of the resulting benefits; readily accepts new technology as part of his/her job and uses it to continually improve efficiency or the quality of his/her work products

Physical Demands/Work Environment

This job operates in a professional office environment. While performing the duties of this job, the employee is regularly required to speak and hear. The employee is frequently required to sit for extended periods, stand, walk, use hands and fingers, and reach with hands and arms. Travel and work outside of normal hours may be required for meetings, presentations, trainings, and other events.

This job description is not intended to be a complete list of all responsibilities, duties, or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of The Centers. Since no position description can detail all the duties and responsibilities that may be required from time to time in the performance of a job, duties, and responsibilities that may be inherent in a job, reasonably required for its performance, or required due to the changing nature of the job shall also be considered part of the jobholder's responsibility.

Supervisory

This position will have supervision of the Behavioral Health Specialist positions in coordination with the Program Manager.