Care Coordinator

The Family Intervention Team (FIT) Care Coordinator provides intensive case management, service coordination, and family support to post-adoptive families of children adopted through the Georgia Division of Family & Children Services (DFCS). FIT Care Coordinators deliver in-home and community-based services designed to stabilize placements, strengthen family relationships, and promote the emotional and behavioral well-being of youth. The focus of this role is to engage families in the High-Fidelity Wraparound process—helping them identify strengths, address underlying needs, and build sustainable supports that allow youth to remain safely in their homes and communities.

FIT Care Coordinators manage a caseload of approximately 15–20 families, providing individualized assistance identified by the family, natural supports, and community providers. This includes coordinating and monitoring service plans, facilitating team meetings, and connecting families to needed resources such as mental health, educational, and social supports. The Care Coordinator serves as the single point of accountability for each family, ensuring collaboration among all systems involved, including DFCS, schools, behavioral health providers, and community agencies.

Because families served by FIT often experience significant trauma and behavioral challenges, Care Coordinators must demonstrate empathy, resilience, and strong crisis management skills. They are expected to provide immediate safety and stabilization planning, while also building trust and engagement through genuine care and consistent follow-up. The position requires the ability to work both independently and as part of a multidisciplinary team, exercising sound judgment and professionalism in all interactions.

The FIT Care Coordinator must be emotionally stable, flexible, and able to relate effectively to diverse families. Regular travel throughout Metro Atlanta and South Georgia is required to meet with families in their homes and communities. Evening and weekend availability may occasionally be necessary based on family needs. The role also involves maintaining detailed documentation, adhering to all program policies and procedures, and participating in supervision and ongoing professional development.

This position provides care coordination to clients/consumers/residents/members and the primary duties include but are not limited to the following:

• Understand the minimum standards for the specific program(s) they are working under.
• Maintain a caseload of 15 to 20 families.
• Ensure new clients are contacted within 48 hours of referral.
• Ensure new clients are met face to face within 7 days of referral.
• Communicate minimally bi-weekly with their supervisor regarding caseload status.
• Complete case notes and contact notes according to documentation standards.
• Meet minimum requirements for client contact for each youth of family on their caseload.
• Traveling to home and/or schools is required, with sessions being held face-to-face in the community at a minimum of 75% of the time; telehealth sessions are allowed for certain situations after being discussed with and approved by supervisor.
• Complete a comprehensive intake assessment of the participant to determine services needed, including activities that focus on the need for any medical, educational, social, or other service.
• Develop a comprehensive narrative (Youth/Family Story) that encompasses all the learned information regarding the family to gain a better understanding of how to best assist them in meeting their needs and honoring family choice and voice.
• Assess clients/consumers/residents/members history of trauma, strengths, and needs.
• Provide periodic reassessment of the participant to determine ongoing service needs and provide evidence for justification/authorization for ongoing services.
• Meet deadlines set to ensure client can remain enrolled in the program and authorization is current.
• Assemble a team composed of family members, natural supports, agency representatives, formal services, and other significant person and facilitate a Child and Family Team Meeting (CFTM) within 30 days of…