Help Others, Make a Difference, Save a Life.

Do you want to make a difference in people's lives every day?
Or help people navigate the tough spots in their life?
And do it all while working where your hard work is appreciated?

You have a lot of choices in where you work…make the decision to work where you are valued!

Join the McNabb Center Team as the Oak Ridge Healthlink Care Coordinator today!

The Oak Ridge Healthlink Care Coordinator

Duties:

• HealthLink Care Coordinators provide a minimum of 1-2 contacts per month, with every client on their caseload.
• Staff members use an integrative approach to interface with agencies increasing cooperation and consistency between home, school, work, community, and behavioral and physical health providers as defined by the individuals Care Plan.
• Staff members provide crisis intervention and emergency services, as well as utilizes Center-wide and community resources as needed for client benefit.
• Staff members will triage clients who require in-person community based visits to meet their needs with Treatment Team on a weekly basis.
• Staff members may provide transportation to clients as needed to meet the goals of their Care Plan.

JOB PURPOSE/SUMMARY

Summary of role of team:

• The Health Link Program, by virtue of the persons it serves, represents a place where the Center's vision is lived out on a day-to-day basis.
• The severe and persistently mentally ill (SPMI) population truly embodies the poorest of the poor and the sickest of the sick.
• Therefore, it is the philosophy of the Health Link Program to live up to this vision by reaching out to the SPMI, regardless of what situation they are in or where they are, and open a door of stability through mental health treatment.
• Health Link services are team-based, and services are provided by Bachelor Level Care Coordinators and RN Care Coordinators.
• These teams are designed to effectively coordinate health care services for TennCare members with the highest behavioral health needs.
• Health Link services are directed toward recovery and self-management of mental illness and provide the consumer/family an opportunity to improve their quality of life.
• Health Link services may be provided in the community or the office in settings that are accessible and comfortable to the consumer/natural support; frequency of contact is based on clinical need.
• Cultural and ethnic factors are taken into consideration in the delivery of these services.
• The services delivered by Health Link staff members are not time-limited, but are designed according to the needs of the individual being served.

Summary of position:

• Serve as the primary care coordinator that provides case coordination using an integrative approach to a predetermined number of children and/or adults.
• Interfaces with agencies to increase cooperation and consistency between home, school, work, community, and behavioral and physical health providers.
• Functions as a member of a treatment team to plan, implement, and evaluate successful interventions for children, adults, and/or families.
• Embraces the key values of empowerment, normalization, rehabilitation, and continuity of care.
• The holder of this position will provide contacts with individuals that meet the requirements of the program.
• Provides advocacy, linkage, and referral services as needed.
• Maintains appropriate chart records.
• Participates in direct supervision with the program supervisor and RN Coordinator, as necessary.
• Interfaces with community agencies and referral sources to coordinate care.
• Provides medication monitoring.
• Completes all documentation in a timely manner.
• Participates in treatment team meetings with a RN Care Coordinator.
• Provides therapeutic support and crisis intervention as needed.
• Upholds center policy and procedures, and CARF standards.

TYPICAL WORKING CONDITIONS/ENVIRONMENT

• This position is a community-based position.
• Staff members are provided with all equipment necessary to work from either the Anderson County Outpatient Clinic or in the community with their clients.
• Staff members may utilize office-space on-site and meeting space for office visits if clients prefer this method of follow-up and outreach.
• Staff members are expected to conduct 85% of their contacts face-to-face in a community setting with their clients.
• Staff members participate in Treatment Team and Team Meetings as outlined by their supervisor upon hire.

This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment.

JOB DUTIES/RESPONSIBILITIES

1. Works in a multi-disciplinary team approach to meet the clinical needs of SPMI consumers.

• Attends Treatment Team twice weekly without tardiness & participates; comes prepared with a case to present, updated information regarding HealthLink gaps, Potentially Not Benefitting updates, and Care Plan updates.
• Attends administrative team meeting on a bi-weekly basis without tardiness.
• Responds to all flags, emails, and voicemails within 1-2 business days.
• Attends supervision with program supervisor once weekly or as scheduled by immediate supervisor.

2. Completes all documentation in compliance with CARF and funder standards.

• Completes all required clinical documentation in accordance with Center Policy and Procedure and funding source guidelines.
• Completes and signs EMR progress notes within two business days of encounter.
• Ensures that all clients have an up to date, care plan, crisis plan, DLA-20, Health Link Consent Form, updated ROI for natural supports and updated signature page at a minimum of every 6 months.
• Creates and coordinates treatment interventions that are reflected in progress note documentation based on the care plan goals.

3. Provide linkage and/or referral to primary care physicians and other external providers for treatment of medical needs.

• Provides care coordination for clients with mental health diagnosis and co-occurring chronic health condition.
• Ensures that all clients have an up to date ROI for their PCP and any other medical providers.
• Ensures that ROI's have been provided to RNCC every 6 months or as needed to effectively coordinate with external providers.
• 15% chart sample evidences that PCP linkage assistance was effectively provided or contains a documented decline.
• Meets with RNCC weekly to facilitate care coordination between the primary care provider, behavioral health provider, pharmacy, specialists, and / or guardians regarding health needs of the client.

4. Monitoring of treatment effectiveness and compliance, including assistance with medications.

• 15% chart sample evidences that HLCC assists with medication appt compliance.
• 15% chart sample evidences that HLCC assists with appointment attendance by addressing barriers such as transportation.
• 15% chart sample evidences that cm has addressed medication compliance with ct.
• 15% chart sample evidences compliance with 7-day and 14-day aftercare appointments as scheduled.
• 15% chart sample demonstrates that all clients receive 2 contacts monthly, one of which must be face-to-face, or unsuccessful attempts have been made.

5. Monitoring of treatment effectiveness and compliance, including providing linkage to community supports, agencies or services that are appropriate for client.

• 15% chart sample demonstrates CC's knowledge of community resources and adequate linkage to community supports or agencies.
• 15% chart sample demonstrates CC promotion of health education with client and/or family on a monthly basis.
• 15% chart sample demonstrates family/client participation in Care Plan as evidenced by signatures on Care Plans.
• 15% chart sample demonstrates completion of Care Plan within 30 days of admission with input from Care Team.
• 15% chart sample demonstrates CSSR-S screening at each visit, Risk Review completion at each visit and crisis intervention as clinically appropriate.
• 15% chart sample demonstrates effective transition planning for clients discharging from an inpatient setting.

6. Team Atmosphere

• Interacts professionally with other employees, clients, and community organizations.
• Works effectively as a team contributor on all assignments.
• Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
• Is expected to have regular and predictable attendance and the ability to work cooperatively with others.
• Demonstrates a consideration and concern for fellow workers and their jobs and promotes harmonious relationships and attitudes.
• Accepts additional assignments and/or changes in assignment and/or work.
• Promotes an environment in which the culture and spiritual beliefs of the individual are respected.
• Provides ongoing daily support to all RN care coordinators in relation to any client's needs as part of a multidisciplinary team.

COMPENSATION:

• Starting salary for this position is approximately $18.42 /hr based on relevant experience and education.

Schedule:

• This position has a regular schedule of Monday - Friday 8am - 5pm.
• There is no on-call for this position and employee is off on Center designated holidays.
• In person daily attendance is essential for this position except in instances of approved time off.

Travel:

• This position requires utilizing a personal dependable vehicle to conduct Center business.
• Maintaining a dependable vehicle and certified driver status is a condition of employment.
• An F-Endorsement is required for this position.
• Staff members will be required to provide transportation in their personal vehicle and staff members are reimbursed for use of their vehicle for this purpose.

Equipment/Technical Competency:

• This position requires utilizing a personal dependable vehicle to conduct Center business.
• Maintaining a dependable vehicle and certified driver status is a condition of employment.
• This position does require basic computer skills for timekeeping and use of electronic medical records entry.

Equipment/Technology:

• This position does require basic computer skills for timekeeping and use of electronic medical records entry.
• Use of a mileage application on a Center issued phone is also required for mileage reimbursement.

QUALIFICATIONS - Oak Ridge Healthlink Care Coordinator

Experience / Knowledge:

• Must have course work and or experience in the areas of cultural diversity, human development, etiology and treatment of medical disorders and mental illness, alcohol and drug abuse, physical and sexual abuse, suicide, and intellectual disability.
• Computer experience is helpful.

Experience / License:

• Bachelor's degree in a health-related field of counseling, psychology or social work.
• Candidates with a Bachelor's degree in rehabilitation, occupational therapy, criminal justice, and education must have fifteen (15) college-level semester hours of course work in behavioral health and at least one (1) year of work experience in the behavioral health setting.
• This position requires utilizing a personal dependable vehicle to conduct Center business.
• Maintaining a dependable vehicle and certified driver status is a condition of employment.

Physical/Emotional/Social - Skills/Abilities:

• This position requires certification in and adequate implementation of verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking. (Handle with Care-training provided)
• This position requires potential lifting up to 50lbs, pushing/pulling up to 150lbs, and frequent sitting, standing, walking, bending, stooping and reaching.
• Potential exposure to biological hazards exist.
• Hearing of normal and soft tones is a requirement.
• Close eye work is likely.
• This position requires a valid driver's license with F-Endorsement.
• Ability to effectively and ethically coordinate care for children, adults, and/or families.
• Ability to present professionally and work within a team format to plan, implement, and evaluate successful interventions.
• Ability to work within a team format to meet positive goals for adults and/or children and interface with other agencies involved in the ecology of the individual.
• Must have mental ability to exercise sound judgment under pressure.
• Ability to exercise sound judgment and effective decision-making, ability to set and demonstrate appropriate boundaries, ability to be an empathic listener, flexibility, willingness, and adaptability to working with diverse populations.
• Must also have the ability to communicate effectively and possess good time management and organizational skills.

Location:

• Anderson County, Tennessee

Apply today to work where we care about you as an employee and where your hard work makes a difference!

Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.

Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply.