Embedded Care Coordinator
Steward Health Care Network
Steward Health Care Network
The role of the Care Coordinator is to assist individuals, families, and internal teams who are experiencing difficulty adjusting to illness, disability or post-acute care. The objective of the Care Coordinator is to enable the individual and/or family to develop adequate coping skills and educate them on available resources within Steward Health Care Network (SHCN) and the community.
- Assesses, develops, and coordinates a child-centered clinical treatment program for patients with acute or chronic psychiatric disorders in a post-acute care setting.
- Provides clinical consultations and thorough psychosocial evaluations as an integral part of the Care Management team.
- Maintains an open level of communication with treating physician and case managers in planning and directing each patient's treatment program.
- Oversees individual treatment and progress in accordance with SHCN policy and procedure, along with state regulations.
- Instructs and counsels patients and family members/caretakers regarding compliance with prescribed therapeutic regimens.
- Provides ongoing age-appropriate supportive counseling/therapy to patients and family members using evidence-based therapeutic approaches.
- Interprets psychiatric treatment plans to patient and patient's family using age-appropriate and culturally competent language to help reduce fear and other obstacles hindering acceptance of psychiatric care and continuation of treatment.
- Makes referrals to case managers, as appropriate, and/or refers patient's family to community support services and resources.
- Utilize resources of public and private agencies and community organizations to meet the needs of patients and families.
- Collaborate with youth and family service agencies at the local, county and state level including but not limited to schools, special education services, DCFS, family court systems.
- Provides ongoing education to case managers to promote understanding of child and adolescent-specific psycho/social needs and assists with referrals to other disciplines as needed.
- Develops and implements child and youth-focused support or assistive programs when necessary.
- Provide solutions to complex clinical problems through analysis, identification of programs, and opportunities for improvement to align with a strategic plan of SHCN and Care Management
- Provides concise and thorough documentation through psycho/social assessment and progress notes, including changes in medical psycho/social functioning, progression and attainment of goals, referrals to internal and external agencies, and contact/involvement with patient's family.
Knowledge and Skills
- Experience working in a post-acute care environment strongly preferred.
- Must be able to effectively communicate with children and adolescents, their family members, case managers, treating physicians and community organizations.
- Must possess the interpersonal skills to engage children and adolescents of varying ages and families in helping relationships.
- Must be able to cope with the pressure of time limitations while respecting the needs of the patient and the requirements of the organization/department.
- Ability to take action in solving problems while exhibiting sound judgment and a realistic understanding of issues; able to use reason, even when dealing with emotionally charged topics.
- Ability to remain open-minded and change opinions on the basis of information, perform a wide variety of tasks and change focus quickly as demands change, and manage transitions effectively from task to task.
- Must possess a strong belief in an organizational culture that encourages valuing and best service excellence practices demonstrated through personal behavior and work ethic.
- Ability to travel, including valid driver's license and auto liability insurance coverage according to company policy.
- Must possess the ability to present and explain complex material to physicians and other providers and member populations in a professional manner.
Experience: Minimum of 5 years working within a health care environment.
Job Reference #: 100020527