Care Coordinator

AltaPointe Health is pleased to introduce enhanced competitive pay rates across our locations! Contact a recruiter today to explore a variety of positions available, including part-time and full-time roles in both clinical and clerical settings!

Certified Community Behavioral Health Clinics (CCBHC’s) seek to improve the behavioral health of their communities by providing outpatient mental and substance use disorder services; advancing integration of behavioral health with physical health care; assimilating and utilizing evidence-based practices on a more consistent basis; and promoting improved access to high quality care.

General Responsibilities

• Assess and re-evaluate patient needs utilizing information from EHR and additional tools as appropriate to determine patient needs and preferences and communicate those to all treatment participants
• Create an Integrated Care Plan in conjunction with the patient and/or caregiver
• Ensure the patient understands the Care Plan and is equipped to follow it
• Identify and address all barriers that might impede the ability of the patient to care for themselves
• Assemble appropriate team of professionals to assist in meeting patient needs, organize patient care activities and share information among all participants
• Assist the patient/caretaker in navigating the health system while addressing any insurance coverage issues
• Update assessment and care plan at least every 90 days
• Utilize the Integrated Care Plan to drive all activities and services
• Provide information and feedback in daily Huddles regarding needs, plans/interventions/results
• Research ways to meet needs and put action steps in place, monitor for progress
• Advocate on behalf of the patient
• Follow up regularly with patient to ensure needs are being met and identify any changes to patient circumstances, any compliance concerns
• Consult with treatment team when noncompliance is found
• Provide training on disease management and healthy living skills
• Provides initial Diabetes Care Introduction
• Provide support and education for patient and their support system
• Facilitate securing/providing medical records when patient is in the hospital, ED, etc.
• Track and support patients when they obtain services outside the practice.
• Follow-up with patients within a few days of an emergency room visit or hospital discharge.
• Communicate test results and care plans to patients/families.
• Collaborate and consult with staff members and outside sources in the delivery and arrangement of services
• Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
• Effectively demonstrates the application of adult specific competencies
  
  
  

Supervision and Consultation

• Seek supervision and consultation as needed
• Accept and employs suggestions for improvement
• Actively works to enhance skills
  
  
  

Clinical Record Keeping

• Document in a timely fashion per AltaPointe policy
• Document in a clear and concise manner.
• Document legibly
  
  
  

Courteous and respectful attitudes towards consumers, visitors, and co-workers

• Treat patients with care, dignity, and respect
• Respect privacy and confidentiality
• Assist others as needed
• Adopt a teamwork approach with coworkers
  
  
  

Administrative and Other Related Duties as Assigned

• Actively participates in Performance Improvement activities
• Actively participates in AltaPointe committees as required
• Completes assigned tasks in a timely manner
• Follows AltaPointe policies and procedures
• Attends appropriate in-services training and other workshops
  
  
  

Bachelor’s degree in a behavioral health or social services related discipline preferred. HSD or GED with 2 years of experience working with individuals with psychiatric, substance use, and/or developmental disabilities required in lieu of degree. Must meet all driving requirements.

Knowledge in adult specialties, outlined below, to be attained within six (6) months of employment

• Psychiatric disorders in adult populations
• Chronic medical conditions
• Trauma Informed Care
• Cultural diversity
• Social determinants of health
• How to administer and utilize basic assessment tools to assess needs and create an Integrated Care Plan
• Resources available to meet the needs of patients based on payor source
• Utilizing electronic health records
• Behavior management, crisis intervention and interventions common to acute psychotic consumers, as well as, to non-violent crisis intervention practices.