Intensive Care Coordinator; CSSI Pathways to Success

Position Information

Position Title: Intensive Care Coordinator (CSSI)

Department: Behavior Health Services

Reports to: Pathways to Success Program Supervisors

Directly Supervises: Pathways to Success Contacts and Referral Sources

Pathways to Success is a State of Illinois initiative to provide comprehensive care coordination that will enhance access to critical behavioral, medical and social services for children with complex behavioral health challenges. The program utilizes the evidence-informed Care Coordination and Support model. This is a structured approach to care coordination that adheres to required procedures for child and family engagement, individual care planning, identifying and utilizing strengths and natural supports while monitoring progress and fidelity to the required processes.

Care Coordinators assist the families in navigating the complex systems of care until they can navigate them on their own.

Under the direction of the Pathways to Success Supervisor, 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 25 families (based on population) at a time and are never assigned to work with more than 30 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.

• Perform outreach & engagement to locate, engage, and educate Pathways youth and their families.
• Using a trauma-informed approach and effectively engaging 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.
• Builds and maintains knowledge of available community resources and helps to link youth and family to needed supportive services.
• Using a system of care approach, assist families to coordinate services from community resources, placement providers, collateral agencies, the court, and/or other community partners with families, consumers, or patients receiving services.
• Facilitate the creation of safety and crisis prevention plans.
• Collaborate with local MCR agencies (including UCAN’s BHS MCR team) when necessary.
• Utilize UCAN’s BHS Care Coordination Model with every individual and family served.
• Must be organized, able to meet timelines, manage a case load, and be a self-starter.
• Have strong interpersonal skills and the ability to collaborate and partner with families, children/adolescents, and other professionals.
• Maintain caseload of 1:25 (based on population).
• Performs other duties as assigned.

• Effectively applies clinical knowledge to evaluate client situations and needs
• Identifies at-risk clients and behaviors before serious acting-out occurs
• Successfully engages and develops rapport with a wide range of clients
• Structures services in accordance with program expectations.
• Maintains consistency and safety throughout service provision
• Guides to make decisions based on clinically appropriate, best practice, and ethical considerations.
• Completes service documentation in alignment with agency and program core performance standards
• Referral and Linkage to services and supports in the community
• Excellent writing skills in order to complete required documentation
• Prepare detailed documentation of activities including opening and closing electronic records, completing required assessments,…