CCS Care Coordinator

Outreach Community Health Centers, Inc; Milwaukee (WI); On-site; USD 42,000 - 54,000; Full time

Job summary

Outreach Community Health Centers in Milwaukee is seeking a Care Coordinator to help individuals with mental illness or substance use disorders live independently in the community. Reporting to the CCS Program Manager and Clinical Coordinator, you will assist clients in accessing medical and social supports on their recovery journey.

The role emphasizes care coordination, client-centered goal setting, referrals, transportation coordination, and documentation of services while adhering to DHS 36

Qualifications

• Strong communication and interpersonal skills.
• Experience with mental health and AODA assessments is preferred.
• Ability to develop client-centered recovery plans and coordinate services.

Responsibilities

• Interviews clients to complete screening and recovery plan development.
• Coordinate referrals and services, monitor progress and coordinate care.
• Assist clients with life skills, transportation, and access to benefits.
• Maintain documentation and complete discharge or transfer paperwork as needed.

Skills

Communication

Case management

Assessment

Education

Associate's degree in Psychology/Sociology/Social Work

Bachelor's or Master’s degree preferred

Job description

JOB PURPOSE AND REPORTING STRUCTURE: Under the direction of the CCS Program Manager & Clinical Coordinator, the Care Coordinator, assists individuals diagnosed with a mental illness and/or substance use disorders to live independently in the community, in accordance with agency policies and procedures. The Care Coordinator will assist individuals to utilize professional, community, and natural supports to address their needs both at home and in the community on their path to recovery.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Completes the MH/AODA Functional Screen online training and 20 hours (or 40 depending on prior social service experience) of training provided by Milwaukee County CARS or in the community within 90-days of hire as outlined by DHS 36. MH/AODA Certification must be renewed every two years.
• Interviews clients to complete the Mental Health/AODA functional screen and develop an individual recovery plan, to include case planning, obtaining and referrals for services, on- going monitoring, modeling, and service coordination.
• Assist clients developing client centered goals and services such as: medical and mental health assistance, obtaining legal assistance and benefits, medication management, in finding employment, training and education, financial management and budgeting, ADL assistance, development of social support systems, AODA services and support, etc.
• Manage caseloads to provide supportive contacts and assist clients in navigating through the community.
• Assess clients needs and complete referrals and meet clients where they are in the community, to include hospitals within established guidelines.
• Provides services such as care coordination as outlined by DHS 36 and Forward Health.
• Assist clients with developing life skills helpful for independent living.
• Completes discharge paperwork if client meets predetermined discharge criteria.
• Transfer clients when services are no longer required or if more services are needed.
• Attend CCS Operation meetings for transfers or discharge of clients.
• Coordinate/provide transportation for clients to and from appointments, to include medical and mental health, shopping, housing, etc.
• Attend and actively participate in departmental meetings and treatment team meetings with other service agencies/supports.
• Complete regular billing/documentation for T-19 reimbursement of services provided to each client.
• Perform on-call coverage as scheduled.
• Complete special projects as assigned.
• Maintain technical competency and remain current in technology and changes in the industry.
• Complete and maintain all required paperwork, records, documents, etc.
• Follow and comply with all safety and work rules and regulations. Maintain departmental housekeeping standards.

EDUCATION and/or EXPERIENCE: Minimum Associate's degree in Psychology, Sociology, Social Work or other job related major with one to two years of related experience. Bachelor’s or Master’s degree strongly preferred. Knowledge of mental health Dx and symptoms, and AODA assessments highly preferred.

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer