Robert Young Center - Precedence

Care Coordinator

Full-Time + Benefits

Monday - Friday, 8:00AM - 5:00 PM

This position will serve Carroll, Lee, Ogle, and Whiteside counties. Daily travel to these counties will be required.

Serves as a member of an interdisciplinary team that provides recovery oriented in- home and community based services for adults and children who have Illinois Medicaid with various medical, mental health and substance use disorder needs. The Care Coordinator also manages a waiver population to work to get services in the home for members who qualify to help them remain safe in their home. The Precedence Care Coordination Entity (PCCE) Care Coordinator will provide comprehensive care coordination services for adults and children, health promotion, individual and family support, referrals to community agencies, assessments, treatment planning and access to Aging, Physical Disability, Traumatic Brain Injury or HIV/AIDS Waiver services if appropriate. The Care Coordinator delivers help home services to qualified members.

Why UnityPoint Health?

• Commitment to our Team - For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members.
• Culture - At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits - Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.
• Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development - We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
• Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.

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Care Coordination & Referrals

• Outreach activities to members to engage in care coordination, conduct individualized, comprehensive, whole person assessments, schedule appointments, make referrals, track referrals, appointments and HEDIS measures, follow-up monitoring, communication with providers on goals, support coordination of care with primary care providers and specialists.
• Tracking of HEDIS measures, referral follow through, health risk assessment completion and other care model components.
• Care Coordinators will participate in joint treatment staffings- meeting with multidisciplinary treatment team and member/parent/guardian to plan for treatment and coordination; provide resource referrals or coordinate to primary are providers and specialists, wellness programs, support groups, school supports, housing services, substance abuse treatment, transportation services, employment and education programs.

Health Promotion

• Promoting members' health and ensuring all personal health goals are included in person centered treatment plans.
• Promote substance abuse prevention, smoking prevention and cessation, nutritional counseling, obesity reduction and increased physical activity.
• Provide health education to members and family members, provide self-management support and development of self-management plans, promote self-direction and skill development in area of medication and medication adherence.
• Coordinate multiple systems for children with SED as part of a child and family-driven team process.
• Provide prevention education to members and families members about health screening, childhood developmental assessments and immunization standards.
• Wraparound planning process: Identification, development and implementation of strengths0-based individualized care plans addressing the needs of the whole child and family.

Comprehensive Transitional Care

• Engage member and/or caretaker as an alternative to emergency room or hospital care.
• Participate in hospital discharge process.
• Preform medication reconciliation.
• Facilitate development of crisis plans & monitor for potential crisis escalation/need for intervention.
• Follow up phone calls and face to face visits with members/families after discharge from the emergency room or hospital.
• Identification and linkage to long-term care and home and community based services.

Education:

• Requires a BA, BS, BSW in behavioral healthcare services related field.

Experience:

• 2 years of supervised experience in mental health or human services related field, preferred.

License(s)/Certification(s):

• Valid driver's license when driving any vehicle for work-related reasons.

Knowledge/Skills/Abilities:

• Reads, writes, comprehends and speaks fluent English.
• Basic computer knowledge using word processing, spreadsheet, email, EMR and web browser.
• Team work
• Interpersonal skills
• Teamwork