Care Coordinator

Who is Comprehensive Healthcare?

Comprehensive Healthcare provides innovative behavioral health and integrated healthcare services to clients of all ages. We take pride in our creative and collaborative work environment and in delivering clinically excellent, trauma-informed, recovery-oriented services.

What are we looking for in a Care Coordinator?

Care Coordinators serve as a liaison between the client and the interdisciplinary team and community providers while coordinating multiple aspects of client care to optimize care and outcomes.

Key Success Measures

• Documentation Timeliness: Percentage of service notes and treatment plans completed according to Comprehensive Healthcare's guidelines for format, content, and timeliness.
• Care Planning: Percentage of assigned clients with a current care management plan and treatment plan that include client goals, strengths, barriers, and the client's own voice.
• Safety Planning: Percentage of clients screened at risk who have a documented safety plan and appropriate referrals

Five Key Activities

• Care Management: Engage clients using Motivational Interviewing, conduct Care Management Assessments, administer the PAM tool, and develop care management plans that encompass all systems of care the client is involved in.
• Care Coordination and Transitions: Coordinate with primary care physicians, the interdisciplinary treatment team, community providers, and medical facilities to ensure an integrated approach and continuity of care.
• Treatment Planning: Collaborate with clients to create measurable, achievable behavioral health goals that include client voice, and reassess and adapt plans as needed.
• Crisis Evaluation and Safety: Screen for risk, apply QPRT principles, use crisis intervention techniques for stabilization, and develop and document safety plans.
• Documentation and Client Advocacy: Complete accurate, timely, client-centered service notes, advocate on the client's behalf, and connect clients and natural supports with education and community resources.

Other Activities

Care Management

• Demonstrates basic knowledge of medical terminology and/or knowledge of resources containing such information.
• Establishes rapport with patient using Motivational Interviewing Strategies for engagement.
• Conducts Care Management Assessment and uses this tool to monitor progress.
• Administers the Patient Activation Measurement (PAM) tool and provides Coaching for Activation.
• Develops a care management plan with patient goals, strengths, and barriers that encompasses other systems of care in which the patient is involved.
• Coordinates with primary care physicians (PCP) and facilitates communication between patient and their PCP.
• Coordinates with multiple systems of care according to the patient's needs and involvement.

Care Coordination and Client Support

• Ensures that an integrated approach to the client's care is accomplished.
• Collaborates with the client to assess treatment needs and desired outcomes. Advocates on the client's behalf as requested.
• Assists the client in creating behavioral health goals that include client voice and meet desired treatment outcomes.
• Assists clients with gaining knowledge of and utilizing community resources.
• Coordinates with interdisciplinary treatment team and community providers to facilitate communication with the client.
• Coordinates with medical facilities at all levels to ensure the continuity of care as clients transition between care systems.
• Provides education and motivational coaching for the client and their natural support system as requested by the client.
• Demonstrates a working knowledge of the Certified Community Behavioral Health Clinic Model of care for integrated behavioral health systems.

Children, Youth and Young Adult Services

• Demonstrates and utilizes knowledge of development in children, youth and young adults.
• Demonstrates and utilizes knowledge and understanding of behavioral health problems in children, youth and young adults.
• Demonstrates and utilizes knowledge of and ability to work with issues of confidentiality, consent and capacity.
• Demonstrates the ability to collaborate and coordinate with family, parents, caregivers and community and natural supports.
• Communicates effectively with children and youth of differing ages and developmental levels.

Crisis Evaluation/Intervention

• Utilizes appropriate crisis intervention techniques for client stabilization.
• Accurately screens for risk to self, others, property and the presence of grave disability and makes appropriate referrals.
• Documents and reports and/or notifies as required by law.
• Applies QPRT (Question, Persuade, Refer or Treat) principles in assessing risk and in safety and treatment planning.
• Develops and documents appropriate safety plans.

Geriatric Services

• Demonstrates and utilizes knowledge of normal aging process and age related changes.
• Demonstrates an understanding of neurocognitive disorders and their impacts on functioning.
• Demonstrates awareness of how medical issues can affect mental status.

Service Notes

• Completes all required service notes according to Comprehensive Healthcare's guidelines, policies and procedures regarding format, content and timeliness.
• Language used in service notes is respectful, clear, descriptive, concise and client-centered.
• Service notes accurately depict treatment modalities and interventions provided within the clinician's scope of practice and according to treatment plan.
• Service notes accurately reflect and depict client status and progress consistent with assessment and reassessment data, problem statements and treatment plan goals and objectives.

Treatment Planning

• Completes all required treatment plans following Comprehensive Healthcare's guidelines and policies for content, format and timeliness.
• Applies assessment, evaluation and reassessment data to the formulation of treatment plans.
• Supports recovery principles by incorporating the individual's and their family's (when applicable) strengths, barriers and needs into the plan components.
• Documents problem statements and treatment goals/objectives/discharge plan that are written in clear and understandable language and includes client's own voice.
• Formulates measurable, achievable goals and objectives within the scope of treatment provided in collaboration with the client.
• Describes clinical modalities/interventions that are reasonable and provided according to applicable Comprehensive Healthcare's protocols.
• Reassesses treatment effectiveness and adapts treatment plan as needed in collaboration with the individual client.

Skills & Experience

• Washington State Agency Affiliated Counselor Registration required.
• Ability to engage clients using Motivational Interviewing strategies.
• Ability to coordinate care across multiple systems, providers, and natural supports.
• Strong documentation, organization, and communication skills.

Education

Bachelor's degree in behavioral science or related field required.