Care Coord​/Intensive Coordinator

Care Coordination and Support:
Intensive Care Coordinator (CCSI)

Pathways to Success is a highly structured program implemented by HFS. Pathways to Success is for individuals under the age of 21 that are Medicaid eligible and meet criteria based on the Behavioral Health Decision Support Model. Intensive case management and full wraparound services are offered to clients and families identified as Pathways eligible. Pathways Care Coordinators link families to traditional outpatient services as well as Pathways specific services.

JOB SUMMARY The Coordination and Support:
Intensive Care Coordinator (CCSI) takes primary responsibility for making the care coordination process happen for children with a mental health diagnosis and their families through the facilitation of Child and Family Team Meetings, coordinating with professionals, and helping the child meet their goals. CCSI is provided to children stratified into Tier
2. Designated CCSI Care Coordinators work with an average of 16 families (based on population) at a time and are never assigned to work with more than 18 families  CCSI helps the family develop a positive view of their future and learn how to use the strength-based empowerment model to help their child improve functioning in the home, school, and community.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Perform outreach & engagement to locate, engage, and educate Pathways youth and their families. Outreach is required 3 times a week for 60 days or until the client is enrolled or they decline Pathways services.
• Use a trauma-informed approach and effectively engage children/youth with significant behavioral health needs and their family/caregivers to resources within the community for their assigned caseload.
• Provide intensive care coordination: utilize a strengths-based approach to safety planning, development of family team and family support systems, and wraparound planning for the purpose of maintaining children in their homes, schools, and communities.
• Schedule, plan and facilitate Child & Family Team Meetings.
• Build and maintain knowledge of available community resources and help link youth and family to needed supports.
• Provide regular communication and close collaboration with multiple community partners.
• Assist families to coordinate services from community resources, placement providers, collateral agencies, the court, and/or other community partners using a system of care approach.
• Facilitate the creation of safety and crisis prevention plans.
• Collaborate with local MCR agencies (including Ada S. McKinley’s MCR team) when necessary.
• Enact Ada S. McKinley Care Coordination Model with each individual and family.
• Facilitate the application process and obtain consents for SFSP/FSP for eligible youth and their families.
• Provide care coordination services to SFSP/FSP eligible youth and their families.
• Complete service documentation in alignment with agency and program core performance standards.
• Help find services and supports in the person-served community or natural environment.
• Maintain strong client engagement and customer service.
• Learn through in-person, virtual, and web-based trainings.
• Manage case load of 1:18 (based on population) and meet timelines.
• Perform other related tasks as needed.

QUALIFICATIONS

• Education:
  
  Bachelor’s degree in social work, counseling, rehabilitation counseling, vocational counseling, psychology, pastoral counseling, family therapy, education or related human service field; or in any other field with two years of supervised clinical experience in a mental health setting required.
• Experience working with children/adolescents and families is required.
• Experience with care coordination is a plus.
• Excellent communication, organization, presentation, and computer skills (including proficiency with Microsoft Office – Outlook, Word, Excel and PowerPoint) along with other related software.
• Bilingual is preferred.
• Valid Illinois Driver’s License and a vehicle; proof of valid auto insurance.

WORKING CONDITIONS Position requires CCSI to actively provide services in-person, in the community, the home, at school, or ote work can be performed when in-person services are declined or when not…