Care Coordinator - OPBH & Vitality for Life - Full Time

Socket.dev; Gardnerville (NV); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

No state income tax

Health, Vision, Dental insurance

401(k) with match

Care Flight membership

Life and AD&D insurance

Disability insurance

Paid time off

Nevada 529 college fund

Employee assistance program

Tuition reimbursement

Job summary

Carson Valley Health is seeking a Care Coordinator for the Outpatient Behavioral Health Clinic to provide comprehensive care management and advocacy for patients with complex needs. You will assess biopsychosocial factors, develop individualized care plans, coordinate transitions of care, and collaborate with a multidisciplinary team to improve engagement and outcomes.

The role emphasizes field collaboration with community resources, documentation in the electronic health record, and supporting

Qualifications

• Bachelor’s degree in mental health or related field required.
• Master’s degree preferred.
• Community Health Worker preferred.
• Licensed Master Social Worker preferred.
• Non-Violent Crisis Intervention within 90 days of hire.

Responsibilities

• Conduct comprehensive biopsychosocial assessments to identify patient strengths, needs, risks, and barriers to care.
• Develop, implement, monitor, and update individualized care management plans in collaboration with patients, families, and treatment team members.
• Identify high-risk, high-utilization, and medically complex behavioral health patients who may benefit from enhanced care management services.
• Coordinate transitions of care between outpatient, inpatient, emergency department, primary care, specialty care, and community-based services.
• Monitor patient progress toward treatment goals and intervene when barriers to care or treatment adherence are identified.
• Support patients in achieving improved health outcomes, increased functioning, and enhanced quality of life.
• Utilize evidence-based and recovery-oriented approaches to support patient engagement and self-management.
• Maintain accurate and timely documentation in the electronic health record in accordance with organizational, regulatory, and payer requirements.

Skills

De-escalation

Negotiation

Communication

Conflict resolution

Interdisciplinary collaboration

Care management

Problem solving

Critical thinking

Quality improvement

Insurance verification

Utilization management

Computer skills

Education

Bachelor’s degree in mental health or related field

Master’s degree in mental health field preferred

Community Health Worker preferred

Licensed Master Social Worker preferred

Non-Violent Crisis Intervention

Tools

Electronic Health Records

Job description

Care Coordinator - OPBH & Vitality for Life - Full Time

POSITION SUMMARY:

The Care Coordinator provides comprehensive care management services to patients receiving treatment through the Outpatient Behavioral Health Clinic. The position focuses on improving patient outcomes through assessment, care coordination, resource management, patient advocacy, interdisciplinary collaboration, and community partnership development. The Care Coordinator serves as a central point of contact for patients with complex behavioral health, medical, and psychosocial needs and works to reduce barriers to treatment, improve engagement in care, and promote recovery-oriented outcomes.

POSITION REQUIREMENTS:

Minimum Education

• Bachelor’s degree in a mental health or related field required (e.g. Counseling, Social Work, Psychology, etc.)
• Master’s degree in mental health field preferred (e.g. Counseling, Social Work, Marriage and Family).
• Community Health Worker preferred.
• Licensed Master Social Worker preferred.
• Non-Violent Crisis Intervention (within 90 days of hire).

Minimum Work Experience

• Minimum two (2) years of experience within behavioral health, healthcare, care management, or related field.
• Demonstrated skills in the areas of de-escalation, negotiation, communication (verbal and written), conflict resolution, interdisciplinary collaboration, care/case management, creative problem solving, and critical thinking.
• Knowledge of outpatient and inpatient behavioral health services, including community and organizational resources, and patient care process.
• Basic knowledge of quality improvement, insurance verification and utilization management as it relates to third-party payers.
• Excellent verbal and written communication skills required.
• Demonstrates flexibility via an ability to adapt to changing priorities and regulations.
• Intermediate computer skills required.

POSITION ESSENTIAL FUNCTIONS:

Care Management programs

• Conduct comprehensive biopsychosocial assessments to identify patient strengths, needs, risks, and barriers to care.
• Develop, implement, monitor, and update individualized care management plans in collaboration with patients, families, and treatment team members.
• Identify high-risk, high-utilization, and medically complex behavioral health patients who may benefit from enhanced care management services.
• Coordinate transitions of care between outpatient, inpatient, emergency department, primary care, specialty care, and community-based services.
• Monitor patient progress toward treatment goals and intervene when barriers to care or treatment adherence are identified.
• Support patients in achieving improved health outcomes, increased functioning, and enhanced quality of life.
• Utilize evidence-based and recovery-oriented approaches to support patient engagement and self-management.
• Maintain accurate and timely documentation in the electronic health record in accordance with organizational, regulatory, and payer requirements.

Patient Care and Advocacy

• Provide supportive interventions, psychoeducation, and patient-centered coaching to enhance treatment participation and engagement.
• Assist patients and families in understanding diagnoses, treatment recommendations, available services, and healthcare systems.
• Advocate for patient needs within the healthcare system and community service networks.
• Identify social determinants of health impacting patient outcomes and develop strategies to address identified needs.
• Conduct routine follow-up contacts with patients to monitor progress, reinforce treatment plans, and assess emerging concerns.
• Assist patients in navigating healthcare, behavioral health, social service, and community support systems.
• Collaborate with providers regarding patient safety concerns, changes in functioning, or emerging treatment needs.
• Support crisis prevention planning and facilitate linkage to appropriate crisis intervention services when needed.

Resource Management and Utilization

• Assess patient eligibility for public benefits, financial assistance programs, insurance resources, transportation assistance, housing supports, and other community resources.
• Facilitate referrals and coordination with community agencies to address identified patient needs.
• Monitor resource utilization and service engagement to promote efficient and effective care delivery.
• Assist patients in accessing appropriate levels of care, including outpatient treatment, intensive outpatient programs, residential treatment, inpatient psychiatric services, substance use treatment, and supportive services.
• Identify gaps in available services and communicate trends and barriers to leadership.
• Participate in utilization management activities that support appropriate care coordination and resource stewardship.
• Track and report care management outcomes and quality indicators as assigned.

Communication and Interdisciplinary Collaboration

• Serve as a liaison between patients, families, providers, healthcare organizations, and community agencies.
• Participate in multidisciplinary treatment team meetings, case consultations, and care coordination activities.
• Maintain effective communication with psychiatrists, therapists, primary care providers, nursing staff, hospital departments, and external service providers.
• Facilitate information sharing, treatment coordination, and continuity of care while adhering to confidentiality regulations.
• Communicate patient needs, treatment barriers, and care management recommendations to members of the healthcare team.
• Promote collaborative decision-making and patient-centered care planning.

Community Collaboration and Partnership Development

• Develop and maintain collaborative relationships with community organizations, social service agencies, healthcare providers, schools, law enforcement, public health agencies, and other stakeholders.
• Maintain current knowledge of local, regional, and state behavioral health and social service resources.
• Participate in community meetings, coalitions, and collaborative initiatives that support behavioral health service delivery.
• Facilitate warm handoffs and coordinated referrals to community-based providers and support programs.
• Assist in identifying opportunities to improve access to services and strengthen community resource networks.
• Represent the behavioral health clinic in community outreach and partnership activities as assigned.

Quality and Compliance

• Maintain compliance with all federal, state, accreditation, hospital, and departmental requirements.
• Participate in quality improvement initiatives, program evaluation activities, and outcome monitoring.
• Adhere to professional social work ethics, standards of practice, and applicable licensure requirements.
• Maintain competency through ongoing professional development and continuing education.

BENEFITS:

If you are scheduled to work part-time at least 24 hours per week and full-time at least 30 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.

• NO STATE INCOME TAX
• Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
• Vanguard 401(k) with match.
• Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
• Employer Paid Basic Life and AD&D insurance.
• Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
• Earned Time Off, Sick Leave and Paid Holidays.
• Nevada 529 College Fund.
• Unum Employee Assistance Program.
• Employer paid Credit monitoring and Identity Theft Program through CyberScout.
• Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
• Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
• Paid Volunteer Hours for staff to help in the community.
• and More...

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Mon-Fri; 8am to 4:30pm