Healthcare Coordinator

• Bonus Opportunity*

At Jefferson Center, it is our policy and our mission to be inclusive and mindful of the diversity of everyone who comes through our doors. We are passionate about building a community where mental health matters and equitable care is accessible to all races, ethnicities, abilities, socioeconomic statuses, ages, sexual orientations, gender expressions, religions, cultures, and languages.

The Healthcare Coordinator (HCC) links adults, children and their families to comprehensive medical, behavioral health and psychosocial services to promote and improve the overall health of the individual as well as the family. This may include but is not limited to psychoeducation, care coordination, care navigation and advocacy for patients in need of or receiving medical care; supporting integrated behavioral and medical collaborative care plans; monitoring the patients' and families' receipt of services and identifying and reducing barriers to services. This position works closely with collocated Integrated Care Clinicians and the medical care teams, Jefferson Center prescriber and care team, and staff of other organizations involved with and in the patient's and family's care. This position will be office/community clinic based and will include clinical work and administrative duties.

Essential Duties:

• Assesses barriers to health, determines appropriate service referrals, determines appropriate ways to address those barriers, ensures services are received and monitors results

• Researches, prepares materials, and provides education and support as needed to clients.

• Coordinates the delivery of services to patients, including collaborating with clinical and other staff to address patients' needs, as appropriate

• Facilitates information exchange and processes continuity of care documents for clients

• Creates Avatar charts, coordinates care with clinician, insurance and integrated practice for clients with commercial insurance

• Connects patients to primary and specialty care resources within the community to address identified health concerns

• Participates in case review sessions.

• Provides timely documentation and required reports for all care coordination activities.

• Service delivery systems include coordination of referral systems, and interfacing with internal clinical and non-clinical services and programs

• Provides input into care coordination protocols and procedures based on evidence-based models

• Research and provide guidance on outreach programs for a diverse population of at-risk clients

• Attends all staff meetings and all other meetings as assigned

• Reports high risk/problem cases, and utilizes a problem-solving approach as well as feedback

• Attends supervision at times and intervals agreed upon with supervisor

• Provides brief-focused screening and intervention collaboratively with medical providers at co-location (this can be independently following referral by medical provider or concurrently in exam room with medical provider providing direct service); Brief-focused interventions will include but are not limited to Solution-focused, Motivational Interviewing, and Acceptance and Commitment Therapy

• Facilitates weekly psychiatric consultation support between medical providers at co-location and established psychiatric consultant through Jefferson Center

• Upon successful completion of necessary training can provide on-site health coaching to address chronic disease management with patient populations.

Other Duties:

• Exhibits enthusiasm, courtesy, adaptability, flexibility, and spirit of cooperation in the work environment

• Must be able to work independently and is self-directed

• Must be comfortable with remote work and has private office space dedicated to remote work

• Maintains professional standards

• Maintains effective interpersonal relationships with consumers, peers, subordinates, upper management, visitors and the general public

• Effectively responds to client/consumer needs and problems, initiates and maintains positive interactions, timely response to phone calls, pages, email and other requests.

• Works cooperatively with other community agencies, as appropriate, and in agreement with supervisor

• Uphold Jefferson Center values:

• People First

• Empathy with Excellence

• Collaborate to Make Life Better

• Community Minded

• Anticipate and Evolve

• Dignity for All

Note: Employees are held accountable for all duties of this job. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

Education, Knowledge, Skills & Experience Required:

• Bachelors in Social Work, Psychology, Public Health or related field required.

• 2+ years' experience in case management or health care navigation in a medical care setting.

• Proficient skills in care coordination, health care navigation, charting, documentation, collaboration, and advocacy.

• Bilingual desired but not required (Spanish)

• Certification in/experience with providing health coaching is highly preferred but not required.

Salary Grade 11- $44,900 to $57,100.*

Additional Salary Information*:

• All salaries at Jefferson Center are calculated based on years of total relevant experience.*
• The salary range above is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.*
• This position qualifies for a limited time grant funded bonus of $1000 paid on the one month anniversary!*

Additional Bonus Information*:

• Based on full time (40 hours/week). Prorate if less than 40 hours/week*
• Must work a minimum of 20 hours/week to be eligible for bonus*
• Current Jefferson Center employees not eligible for sign on bonus*

Application deadline: 7/1/2024. Review of applications will begin immediately.