BAMSI CCN Care Coordinator in Brockton, Massachusetts
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The CCN (Coordinated Care Network) Care Coordinator will provide coordinated Behavioral Health (BH) care management services as an integrated member of the care management team to adult Enrollees in need of services.
BAMSI is a private, non-profit culturally diverse human services organization providing services to adults and children with developmental disabilities, mental illness, behavioral health, and public health needs. We at BAMSI believe that those we serve are capable of amazing things and deserve our best. We support them in their journeys and celebrate their accomplishments along the way.
We strive to offer valuable benefits that promote a healthy work/life balance and add value to our employees’ lives. Our comprehensive benefits include:
Generous Time Off Package
up to 4 weeks combined vacation, personal and cultural holiday
11 paid holidays
up to 2 weeks Sick Time
Highly Specialized Paid Trainings including opportunity to earn CEUs
Health and Dental Insurance
Life, Short Term and Long Term Disability Insurance
403B plan with discretionary match
Employee Assistance Program
Career Development Opportunities
*Available benefits are based on position and scheduled hours.
General Statement of Duties: Provide coordinated Behavioral Health (BH) and/or Substance Use (SU) care coordination services as an integrated member of the care coordination team to adult Enrollees in need of services.
Work collaboratively and effectively with care coordination team, including Assigned or Engaged Enrollees, their family/caregiver(s), medical team, and other providers to coordinate BH/SU care coordination services.
Implement creative and consistent approaches in order to outreach and engage assigned Enrollees into the program.
Complete Comprehensive Assessments for all Engaged Enrollees. Including an assessment of the Engaged Enrollee’s need for social services, and community resources to support their health and well being.
Facilitate approval of the Comprehensive Assessments within required time frame.
Work with Engaged Enrollee, family/caregiver(s) and providers to develop and update the Person Centered Treatment Plan (PCTP) within required time frames.
Utilize a person-centered approach when planning and delivering services in partnership with all enrollees, associated support systems such as family members, friends, guardians, and all medical, behavioral health and substance use providers.
Ensure that the Engaged Enrollee receives the necessary assistance and accommodations to prepare for, fully participate in and to the extent preferred, direct the treatment planning process. Ensure the Engaged Enrollee receives assistance in understanding BH/SUD terms and BH concepts.
Monitor adherence to PCTPs, evaluate effectiveness, monitor Enrollee progress, and facilitate changes as needed within the required time frame(s).
Create ongoing process for Enrollee and family/caregiver(s) to determine and request the level of care coordination to support their desire at any given point in time.
Ensure that the PCTP meets the requirements of EOHHS and notify the ACO/MCO if changes have occurred, since the completion of the Comprehensive Assessment.
Facilitate Enrollee access to appropriate medical, behavioral health, substance use and other specialty providers.
Conduct assessment for Flexible Services for all Engaged Enrollees who are enrolled in an ACO. If Flexible Services are identified, make recommendation to ACO for approval.
Coordinate all aspects of service delivery and promote integration with healthcare providers, BH providers, SUD providers, and community/social services providers that the Engaged Enrollee may be receiving, as outlined in the PCTP Plan.
Facilitate and attend meetings between Enrollee, family/caregiver(s), care team, payers, and community resources as needed.
Provide health and wellness coaching as directed by the Engaged Enrollee’s care team and as indicated in the Enrollee’s BH PCTP Plan.
Maintain a minimum of required contacts with Enrollees to monitor and coordinate PCTP including quarterly face-to-face meetings.
Complete all required documentation in a timely manner.
Provide outreach and engagement services to individuals as needed including transportation for services related to their PCTP.
Provide transition planning and transition coordination to Engaged Enrollee including follow-up support post Emergency Department and In Patient discharges.
Work in collaboration with CCN’s lead agency in all aspects of delivering BH Community Partner services.
Execute duties to reflect reasonable safety standards. Standard precautions must be utilized and training obtained in areas that constitute risk.
Perform duties to reflect agency/program/CCN policies and procedures.
Perform other related work duties as needed or as assigned by supervisor.
Bachelor’s degree in social work, human services, nursing, psychology, sociology, or related field from accredited college/university plus one year of experience working with mental health/substance use disorders preferred.
Associate’s degree and/or at least two years of relevant professional experience working with individuals with mental health/substance use disorders required.
Experience navigating individual and family service systems and demonstrated the capacity to work collaboratively and effectively with families and community-based colleagues.
Experience using Electronic Health Record system(s) to document and coordinate services strongly preferred.
Must be able to perform each essential duty satisfactorily.
Strong interpersonal skills in terms of developing a working relationship with a variety of individuals in a variety of context. Ability to communicate effectively verbally and in writing.
Strong organizational skills with attention to detail, multi-tasking skills, prioritization skills, analytical skills, problem-solving skills and team skills.
Demonstrated ability to function independently at a high level of competence.
Ability to travel on a regular basis. Must possess a valid driver’s license in state of residence, must be 21 years of age and have own means of transportation.
Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.
Ability to read and speak English. Fluency in other languages especially Spanish, Portuguese, Cape Verdean Creole, and/or Haitian Creole preferred.
External Company Name: Brockton Area Multi-Services Inc.
External Company URL: http://www.bamsi.org/