Care Coordinator (76406)
Posted
Primary Responsibilities and Duties
- Screening, Assessment, and Engagement
- Establishes and maintains professional relationships with individuals, families, referral sources, and community partners.
- Completes initial and ongoing assessments in accordance with program, payer, and regulatory requirements.
- Identifies risk factors, including suicidal or homicidal ideation, and ensures immediate intervention, documentation, and follow-up in accordance with organizational protocols.
- Utilizes standardized screening tools (e.g., PHQ-9, SDOH assessments) as required.
- Care Coordination
- Coordinates services across healthcare, behavioral health, housing, employment, and social service systems.
- Facilitates communication among providers, natural supports, and community resources.
- Schedules appointments and assists with transportation coordination to reduce barriers to care.
- Participates in treatment team meetings and case reviews.
- Maintains timely, accurate, and compliant documentation in the electronic health record (EHR).
- Service Delivery and Support
- Provides targeted case management and supportive interventions consistent with scope of practice.
- Supports individuals in navigating systems of care and adhering to treatment recommendations.
- Promotes engagement in ongoing services and continuity of care.
- Advocates for individuals to ensure access to appropriate services and resources.