Status: Position filled
Job Summary:
Will coordinate and lead the day to day operation of the intervention team. This position is 75% field based, encompasses managing a small team of care coordinators working with complex clients. The program’s goal is to reduce client usage of emergency room services, and shift towards primary care models.
Job Description:
- Manage intervention team day-to-day and prioritize work according to staffing and client needs.
- Identify and enroll clients, visit in their community, home, clinics and elsewhere. Conduct psychosocial assessments.
- Develop care coordination plans, monitor and evaluate client’s progress, and modify care plans accordingly.
- Collaborate and communicate effectively with other team(s) members, including nurse practitioner, technology, and leadership teams.
- Participate in daily huddles, staff meetings and collaborative meetings with PCIC partners.
- Complete and maintain accuracy of all required documentation in a timely manner, and in accordance with regulations and office standards.
Qualifications:
- MSW, LCSW, LMSW, or BSN, with a minimum of 2 years’ experience working in case management.
- Ability to work effectively with complex clients having mental and/or physical health diagnoses.
- Intermediate knowledge of medical and psychological disorders.
- Excellent knowledge of community resources in Houston and ability to forge and nurture new connections to broaden support for clients.
- Good technology computer skills (i.e.: Word, Excel, Project Management, Medical Records).
- Excellent verbal and written communication skills.
- Excellent interpersonal skills and ability to deal with very challenging patients.
- Excellent organizational skills.
- Ability to drive throughout Houston and immediate surroundings.
- Supervisory experience preferred.