Care Coordinator Support Worker

Job Summary

Under the assigned CCS supervisor, the Care Coordination Support Worker provides community-based services to identified youth, centered on Systems of Care and Wraparound services. CSSW plays a critical role in the community behavioral health service delivery system, ensuring that services are family‑focused, youth‑guided, individualized, strengths‑focused, and trauma‑informed.

• Targets youth identified in the Pathways program by the State of Illinois, Health Care and Family Services
• Serves Pathways to Success eligible youth identified within CSS (Care Coordination) at the Tier level CCSW (Care Coordination Services – High‑Fidelity Wraparound) in line with the policies of the program
• Provides service with an evidence‑informed, structured approach to care coordination that adheres to procedures requirements regarding child and family engagement, individualized care planning, identifying and utilizing strengths and natural supports while completing fidelity measures/monitoring
• Assists in the integration of all services provided for the youth and family by serving as a central point of communication for service components in service delivery
• Collaborates with youth and families to identify both informal and formal supports to develop a Plan of Care and a Crisis Prevention Plan
• This position serves a caseload referred to Pathways to Success Tier level Wraparound
• Caseloads vary based on referrals received and accepted services
• Positions require work in High Fidelity wraparound caseloads that are 10;1 with no more than 12 if there is an identified need and approval
• Completes a strength‑based assessment and required updates utilizing the IM CANS to identify both strengths and treatment target needs
• Facilitates and coordinates Child and Family Team Meetings (CFTM) at regular intervals, as required by policy
• Coordinates collaboration with all service providers to develop a comprehensive Plan of Care and Crisis Prevention Plan
• Ensures that care planning and decision‑making processes uphold the values, preferences, beliefs, culture, and identity of the child, family, and their community
• Monitors progress toward goal achievement and the indicators of success per care plan and revises the plan, as needed
• Regularly discusses progress toward goals with the client and encourages client feedback and client ownership of outcomes on a regular basis
• Improves client access to crisis supports and appropriate home and community‑based services to support behavioral health needs
• Assists the team in adjusting the Plan of Care if movement toward goals is not happening
• Assists the team in adjusting the Crisis Prevention Plan, as needed and at regular intervals per policy
• Advocates for the youth and family, especially towards their needs being met in the least restrictive setting possible
• Implements services to avoid use of unnecessary inpatient psychiatric hospitalization, residential treatment, and emergency rooms
• Provides active guidance/feedback during family contacts (i.e., during crisis interventions and other crisis stability events)
• Completes intakes per program need
• Provides transportation for clients within program guidelines
• Provides training and education to caretakers where applicable
• Maintains highest ethical standards in keeping with professional affiliations and strength‑oriented practice
• Plans and administers therapeutic interventions, when applicable
• Maintains a comprehensive client file
• Provides support as needed during crisis and follow‑up services, and at times may respond to Mobile Crisis Services, if the youth experiencing a crisis is currently engaged in services
• Represents the agency at court hearings and attends required staffing meetings
• Adheres to Evidence‑Based/Informed program (ARC)
• Adheres to the fidelity of Wraparound facilitation, per job training, for CSSW staff
• Provides Family Support Program (FSP) and Specialized Family Support Program (SFSP) as needed
• Performs other related duties as assigned

• Bachelor’s degree from an accredited university in psychology, social work, counseling, education or similar

• Two years of experience coordinating care,…