Care Continuum Coordinator

VitalCore Health Strategies; Middleton (MA); On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Health Savings Account

Life Insurance

PTO

Annual Incentive Bonus

401K & Plan Matching

Dependent Care Flexible Spending

Job summary

VitalCore Health Strategies is seeking a dedicated Care Continuum Coordinator at Essex County Correctional Facility in Middleton, MA. The role focuses on coordinating discharge planning for patients in the MAT program, maintaining communications with facility staff and community resources, and ensuring services are delivered with accountability.

The ideal candidate will have a Bachelor’s degree in social work or related field, experience in transition planning for SUD, and strong case management

Qualifications

• Bachelor’s degree in social work or closely related field from an accredited college or university.
• Experience developing transition plans involving community resources for persons with Substance Use Disorder.
• Experience in case management in a Human Service agency.
• Must maintain CPR certification, and any other certifications required by contract.
• Satisfactory background investigation report.

Responsibilities

• Coordinate discharge planning for patients in the MAT Program.
• Maintain communication with facility staff and community resources.
• Ensure accountability for services provided.
• Develop and maintain relationships with community agencies providing services to people with SUD.
• Coordinate with child protective services (DCF) regarding housing and resources.
• Comply with security regulations and confidentiality requirements of the facility.
• Identify release planning needs for MAT patients and assist in arranging housing and resources.
• Facilitate appointments with community resource agencies for continued services.
• Coordinate with agencies to develop residential placement options.
• Maintain positive working relationships with Unit Team Staff, Parole Officers, Re-Entry Case Management, Mental Health, and other staff involved in release planning.
• Document services in health records and aftercare contacts.
• Track follow-up contacts per contract and maintain release planning timelines.
• Develop housing resource lists and assist patients in identifying options.
• Arrange transportation as needed and track release dates and court appearances.
• Participate in treatment team meetings and staff trainings related to MAT services.
• Attend community meetings relevant to release planning as directed.

Skills

Discharge planning

Community liaison

Case management

Interagency collaboration

Communication

CPR certification

Education

Bachelor's degree in social work or closely related field

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Care Continuum Coordinator

MEDICAL Full Time Essex County Correctional Facility, Middleton, MA, US

Join the VitalCore Team in Massachusetts! We're people fueled by passion, not by profit!

VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, has an opening for a Full-Time Care Continuum Coordinator at Essex County Correctional Facility in Middleton, MA !

At VitalCore we pride ourselves on retaining and acquiring compassionate, ethical individuals who are committed to providing quality services. Join our team and experience first‑hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.

CARE CONTINUUM COORDINATOR BENEFITS PACKAGE INCLUDED BUT NOT LIMITED TO:

• Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day
• Medical
• Dental
• Vision
• Health Savings Account
• Life Insurance
• Short Term/Long Term Disability
• Identity Theft Protection
• Pet Insurance
• Employee Assistance Program and Discount Center
• 401K & Plan Matching
• PTO
• Annual Incentive Bonus
• Dependent Care Flexible Spending Account

CARE CONTINUUM COORDINATOR SCHEDULE

• Full-Time

CARE CONTINUUM COORDINATOR POSITION SUMMARY

The Care Continuum Coordinator coordinates, conducts, and implements discharge planning for patients in the MAT Program. Maintain effective communication with facility staff and community resources as well as maintain accountability for services provided.

CARE CONTINUUM COORDINATOR ESSENTIAL FUNCTIONS

• Responsible for discharge planning for patients receiving MAT services in accordance with the policy and procedures.
• Responsible for creating and maintaining relationships with community agencies providing services to people with SUD.
• Coordinate with child protective services (DCF) related to housing and resources.
• Responsible for abiding by security regulations, including limits of confidentiality of patient information requirements of the facility.
• Identify release planning needs of patients receiving MAT services.
• Assist patients in making appointments with community resource agencies for continuation of services.
• Communicate with agencies serving those receiving MAT services to develop options for residential placements.
• Communicate and maintain positive working relationships with appropriate Unit Team Staff, Institutional Parole Officers, Re-Entry Case Management, Mental Health Department, or other facility staff also assigned to release planning activities.
• Document services provided to the inmate in the health record, including contacts with community providers or parole staff after patients release from custody.
• If required by contract, maintain tracking logs of any follow-up contacts provided after patients are released from the facility.
• Develop resource list for a variety of housing options and work with patients to identify appropriate housing.
• Facilitate applications for transportation as needed.
• Track patient release dates and upcoming court appearances.
• Attend treatment team meetings to enhance release planning activities and maintain a team approach.
• Participate in staff meetings and in-service training as provided for MAT services.
• Attend community based meetings relevant to release planning as directed by the Clinical Supervisor of Mental Health Director.
• Compliance with employee standards of the facility. Compliance including but not limited to, the maintaining of a professional working environment and personal appearance consistent with professional responsibility, development of positive working relationships, and timely notifications of supervisory personnel of absences from the institution.
• Maintain proficiency with all software required for the position, and more specifically, clinical documentation in the designated electronic health record system.
• Providing education/ensuring all MAT patients are provided access to Naloxone at the time of release whenever possible.
• Perform other duties as assigned.

CARE CONTINUUM COORDINATOR MINIMUM REQUIREMENTS

• Bachelor’s degree in social work or closely related field from an accredited college or university.
• Previous experience in developing successful transition plans involving community resources for persons with Substance Use Disorder.
• Must also have experience in case management in a Human Service agency.
• Must maintain CPR certification, and any other certifications required by contract.
• Satisfactory background investigation report.

VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.

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