Join to apply for the TCL Community Care Coordinator (QP) role at Partners Health Management
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Join to apply for the TCL Community Care Coordinator (QP) role at Partners Health Management
Competitive Compensation & Benefits Package!
Position eligible for –
- Annual incentive bonus plan
- Medical, dental, and vision insurance with low deductible/low cost health plan
- Generous vacation and sick time accrual
- 12 paid holidays
- State Retirement (pension plan)
- 401(k) Plan with employer match
- Company paid life and disability insurance
- Wellness Programs
- Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Office Location: Remote/Mobile Position; Gastonia NC location
Closing Date: Open Until Filled
Primary Purpose of Position: The TCL Community Care Coordinator focuseson working closely withcommunity, providers, hospitals, and stakeholders to engage adults in mental health/substance use services as well as in Permanent Supported Housing. This position is responsible for providing proactive intervention and care coordination to individuals in Transition to Community Living to ensure that they receive appropriate assessment, provide linkage and oversight of services, and utilizing a team approach to reduce housing separations. This is a mobile position with work done in a variety of locations. This position will primarily work with members that are receiving Tailored Care Management excluded services or members that have opted out of Tailored Care Management.
Role And Responsibilities
- Work closely with TCL Transition Teams and TCL Complex Care to identify and link member to services to promote a successful transition to permanent supported housing.
- Monitor member engagement with service providers through weekly provider calls and Treatment Team meetings. Reporting updates to Transition Team.
- Participating in weekly Transition Team Meetings.
- Assist with Linking members to MH provider prior to transitioning from an ACH to Permanent Supportive Housing.
- Establish and maintain rapport with service providers serving TCL members.
- Facilitate Treatment team meetings when members tenancy may be at risk.
- Provide education, referrals, care coordination activities regarding available services and supports including Physical Health, Behavioral Health, I/DD, LTSS, TBI, Pharmacy, Vision, and Dental services/supports.
- Link to needed behavioral health and physical health care services and facilitating appropriate connections to primary healthcare services through Community Care of North Carolina, the Health Department, or other community health resources
- Coordinating and linking members to benefits
- Completion of any needed assessments/screenings required by the MCO/LME
- Ensure treatment team members participate in treatment team meetings to address the needs of the member
- Conduct continuous monitoring of progress towards goals identified in Care Plan through in-person and collateral contacts with the member and member’s supports, including family, information and formal caregivers and routine care team reviews
- Identify the gaps in needed services and intervene as needed to ensure the member receives appropriate care
- Identify and refer member to community resources
- Oversee care transitions for members who are moving from one clinical setting to another
- Maintain accurate data information for care coordination activities and outcomes: including tracking of individuals in and out of enhanced services, those who are on waiting lists for services, and those who may be at risk of losing housing or lost housing.
Collaboration
- Serves as a collaborative partner to providers in working to maintain members tenancy.
- Identifying system barriers through work with community stakeholders and communicates this information to Partners Local Barriers Committee.
- Works in partnership with other LME/MCO departments to address identified needs within the catchment area
Knowledge, Skills And Abilities
- Extensive understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version)
- Considerable knowledge of the MHSU/IDD service array provided through the network of the LME/MCO’s providers
- Knowledge of LME/MCO’s implementation of the 1915(b/c) waivers and accreditation
- Highly skilled at assuring that both long and short-range goals and needs of the individual are addressed and updated, while assuring through monitoring activities that service implementation occurs appropriately
- Exceptional interpersonal and communication skills
- Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint)
- Excellent problem solving, negotiation, arbitration, and conflict resolution skills
- Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish
- Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships
- Ability to change the focus of his/her activities to meet changing priorities
- A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance
Education And Experience Requirements
- Bachelor's degree in a human service field with two years of full-time, post-bachelor's degree experience with the population served
-OR-
- Bachelor's degree in a field other than human services with four years of full-time, post-bachelor's degree experience with the population served
-AND-
- One (1) year of relevant experience working directly with individuals with SMI or SED
- Must be knowledgeable about resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, BH, therapeutic, and physical health services
Other Requirements
- Must reside in North Carolina.
- Must have ability to travel as needed to perform the job duties
Education/Experience Preferred: Above requirements
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