- The Gerald L. Ignace Indian Health Center's Department of Behavioral Health Adult Therapy Clinic (ATC) provides quality patient care services to reduce barriers and increase access to behavioral health treatment services, substance abuse services, care coordination, and cultural and community supports. We are looking for a knowledgeable, caring, and resourceful Care Coordinator to provide case management and resource support in the Adult Therapy Clinic (ages 18 and older). The position requires good communication and organizational skills, empathy, resourcefulness, and an ability to work within a team and within an environment with multiple demands.
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- JOB SUMMARY
- Under the supervision of the Clinical Director of the Adult Therapy Clinic (ATC), the Care Coordinator functions as a member of the Department of Behavioral Health Clinical Team to provide patient care coordination services, psychiatric scheduling and care management, psychological evaluation scheduling and coordination, patient advocacy, community connection to resources, crisis triage/management, and case management services.
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- ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Administers and reinforces the importance of culturally sensitive patient centered health services.
- Possesses a strong knowledge of the Indian Health care delivery system, and prevalent health issues/disparities in American Indian and Alaska Native communities.
- Works closely with the Manager of Behavioral Health Operations & Integrated Care, ATC behavioral health clinicians, and care coordination team to implement ATC care coordination services that ensure optimum patient services are provided daily in the clinic.
- Works in close partnership with the ACT behavioral health therapists to provide the scheduling/rescheduling of appointments, providing resource allocation support, and check-in phone calls with clients and family members when indicated.
- Serves as a member of the patient's care team, providing support, advocacy and resource allocation assistance for psychosocial needs.
- Serves as the primary liaison in planning care between patients, emergency supports/contacts, caregivers, and behavioral health service providers, i.e., primary care providers, psychiatric medication providers, behavioral health therapists, social workers, speech and language pathologists, occupational therapists, and external services and supports as needed.
- Serves as an ongoing primary point of contact for patients with a wide range of patient needs i.e. referrals for hospitalization, referral to detox, intensive outpatient programming, psychiatric medication management, social service needs, housing, emergency shelter placement and more. Provides step-by-step assistance to patients in need of obtaining admission to these higher levels of care and support.
- Provides crisis bundles and hygiene items from the Nurturing Natives Program to clients and is responsible for recording, tracking, and monitoring the items distributed to clients.
- Co-manages the GLIIHC Psychiatric Nurse Practitioners medication management clinic through scheduling intakes appointments, pre-clinic lab appointments, check-in calls, and follow-up appointments.
- Obtains releases of information and medication consents for psychiatric telehealth and in-person visits for GLIIHC Psychiatric Nurse Prescriber Tuesday- Friday.
- Co-manages the clinical psychologist testing and evaluation scheduling, check-in and reminder calls. Provides education on testing services to clients interested in testing and evaluation.
- Assists patients with Severe and Persistent Mental Illness (SPMI) (i.e. schizophrenia, bipolar disorder, severe depression etc.) in understanding treatment options, and resources available internally and externally to the organization. Works with the ATC Team to ensure patients enrolled in this program have wraparound services and care that meets their daily needs.
- Provides case management and maintains a caseload for the clients enrolled in the ATC SPMI Program by providing patient education, support, and encouragement in a culturally sensitive, trauma informed manner. Provides regular support and reminders on the importance of medication and therapy appointment adherence for wellness. Assists with goals to strengthen daily life skills to support independent functioning. Provides weekly check-in calls as needed to assist with support and stabilization. Provides assistance to connecting to outside resources and support, and other activities to maximize patient knowledge of self-care and reduce avoidable hospital admissions.
- Works alongside ATC therapists during to provide education, resource assistance and support for the SPMI Drop-in Center hours each week.
- Provides timely documentation of all patient services in the patient electronic health record, and a number of patient trackers.
- Provide education and informational resources to patients to optimize continuous and comprehensive care.
- Responsible for tracking client service data and providing updates to the Clinical Director and Director of Behavioral Health upon request.
- Attends weekly clinical team meetings and other meetings as assigned.
- Maintains ability to act as a helpful resource for behavioral health clinic staff and assist the providers as necessary for complex patients.
- Provides hands-on support and serves on subcommittees for Health Center Community Outreach events i.e. Back to School Supply Drive, Holiday Toy Program, Harvest Feast, Community Health Fair etc.
- Other duties as assigned.
- QUALIFICATIONS:
- Minimum qualifications include possession of an associate degree in a human service-related field; and/or two years of related experience and/or training; or equivalent combination of education and experience. Maximum qualifications include a bachelor's or master's degree from an accredited college or university in a behavioral health field, social work field preferred. Experience working in behavioral health care settings, providing case management services in a behavioral health setting, and working in partnership with clinical care teams and community organizations is a plus. American Indian preference preferred.
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- EDUCATION or SKILLS/KNOWLEDGE:
- Excellent interpersonal skills and ability to work with diverse personalities (patients, providers, other staff members, and public).
- Possesses excellent organizational skills for managing workflow, coordination of patient care, anticipating the needs of the patients and providers, establishing and maintaining effective working relationships.
- Ability to multi-task among administrative and patient care duties
- Good verbal and written communication skills.
- Interact in a confidential, dependable, honest, professional, and trustworthy manner with patients, employees, and vendors.
- Possesses cultural awareness and sensitivity.
- Sensitivity to the complex physical and mental health needs of the population served,
- Knowledge and sensitivity to American Indian/Alaska Native culture and traditions.
- Ability to manage complex patient cases and be the point person for coordination of patient care.
- Activity to identify patient needs, set priorities, identify and resolve problems effectively and efficiently.
- Ability to effectively use MS Office Suite, Internet and email.
- Knowledge and ability to document in electronic medical record i.e. OCHIN EPIC.
- Good teamwork, organization, problem solving, and communication skills are essential.
- Demonstrates reliability flexibility and portrays positive role model behavior.
- Ability to communicate effectively with patients, families, caretakers, physicians, and others under stressful conditions.
- Contributes positively to patient satisfaction.
OTHER SIGNIFICANT FACTORS:
The physical requirements described here are representative of the needs that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of the job, the employee is regularly required to sit, use hands to manipulate objects, tools or controls, reach with hands and arms, and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. The noise level int h work environment is usually quiet.
Work is performed in an office environment utilizing various office equipment including, but not limited to a computer, copy machine, fax machine, and multi-line phone. Ability to communicate effectively over the telephone, by computer, and in person. Ability to perform well in a fast-paced work environment.
This is a general outline of the essential function of this position and shall not be construed as an all-inclusive description of the all the work requirements and responsibilities, The employee may be required to perform other job-related duties as requested by the designated work leaders. All requirements are subject to change over time. All positions at the Gerald L. Ignace Indian health Center have the responsibility to carry out functions to maintain inspection and survey readiness, participate in quality improvement initiatives, as well as assist in or provide education for health promotion and disease prevention. Reasonable accommodations may be made to enable individuals with disabilities to persona the essential functions of this position.
This is a general outline of the essential functions of this position and shall not be construed as an all-inclusive description of all work requirements and responsibilities. The employee may be required to perform other job-related duties as requested by the designated work leader(s). All requirements are subject to change over time. All positions at the Gerald L. Ignace Indian Health Center have the responsibility to carry out functions to maintain inspection and survey readiness, participate in Quality Improvement initiatives, as well as assist in and/or provide education for health promotion and disease prevention. Reasonable accommodation(s) may be made to enable individuals with disabilities to perform the essential functions of this position.
GLIIHC supports a safe, healthy and drug-free work environment through criminal and caregiver background checks and pre-employment drug testing. GLIIHC maintains a smoke-free environment.
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Gerald L. Ignace Indian Health Center, Inc.
24.00 - 28.00 per hour - Health, Dental, Vision, Life/Short/Long Term Disability, FSA, 401K, Generous PTO and Sick Leave, 6 Paid Holidays
Jan 24, 2025