Behavioral Health Care Coordination Specialist - Scioto​/Lawrence Counties

Representative Responsibilities

The BH Care Coordination Specialists will utilize high fidelity wrap around model and/or principals to provide community-based care coordination for children and families who are experiencing serious emotional disturbance (SED), trauma, co-occurring behavioral health disorders and who are engaged with one or more child-serving systems (e.g., child welfare, intellectual and developmental disabilities, juvenile justice, education).

• Engage newly referred youth and family in care coordination.
• Conduct in-person meetings with client and caregiver within required time frames.
• Partner with family to develop Child and Family-Centered Care Plan (CFCCP) and to identify client family team.
• Facilitate Child and Family Team (CFT) meetings at least monthly or more frequently depending on need.
• Complete comprehensive assessments including Child and Adolescent Needs and Strength (CANS) assessment.
• Develop safety and crisis plan.
• Facilitate referrals and linkages, monitor care plan implementation.
• Manage 1915 Waiver funds ensuring prior authorization and ODM approval is obtained.
• Ensure documentation meets all requirements.
• Bill for care coordination activities.
• Discharge planning and transition planning activities.

• Intensive Care Coordination (ICC) – 1:10
• Moderate Care Coordination (MCC) – 1:20
• Caseloads can be a mix of ICC and MCC

• Engaging the youth and their family in forming their unique CFT, preparing them to be full partners in the assessment, planning, and implementation of their ISP.
• Convening CFT meetings, ensuring that CFT meetings are convenient for the family.
• Serving as the facilitator of the CFT, ensuring that the CFCCP development is a collaborative effort of all the Team members.
• Serving as the point person for the CFT, remaining in contact with all members to ensure implementation and effectiveness of the CFCCP, monitoring the commitments of the team members and assisting with implementation issues.
• Developing and implementing an individual crisis and safety plan as needed in conjunction with the youth and family.
• Coordinating care with all providers and agencies with whom the family is involved, including youth’s physical health providers and school personnel.
• Ensuring effective referrals and linkages with appropriate assessments, supports, and service.
• Ensuring that all services, supports, and care management processes respect the youth and family’s rights to define their specific goals and choose their providers and resources, and monitoring to ensure that all supports, and services are family friendly and culturally competent.
• Communicating ongoing CFCCP implementation progress and updated strategies to all Team members, obtaining their cooperation and approval.
• Working with others to develop community resources to meet youth and families’ needs as identified.
• Ensuring good information management and documentation, including attendance of team members and their approval of the CFCCP are documented in the youth’s EHR.
• Ensuring that the written CFCCP is signed by the youth (as age appropriate), family/caregiver(s), and the Care Coordinator and placed in the youth’s record within 2 weeks of the CFT meeting.
• Ensuring that the CFCCP is provided to Aetna for quality review and initiating the authorization process for services as needed and within timeframe indicated by ODM.

• Shifts are Mon‑Friday.
• 8‑hour day shifts, times vary based upon family availability.
• Majority of worked hours will be spent in the community meeting with clients and conducting child family team meetings. When not in the community, will be onsite at CCHMC Vernon Manor campus.

• Bachelor’s degree plus 2 years’ experience, or Master’s degree with 1 year experience in one or more of the following areas – Family systems;
  Community systems and resources;
  Case management;
  Child and Family counseling or therapy;
  Child protection;
  Child development.
• Must have reliable transportation.
• Must reside in the Scioto/Lawrence County area.

• Wraparound…