JOB PURPOSE AND REPORTING STRUCTURE: Under the direction of the CCS Program Manager & Clinical Coordinator, the Care Coordinator, assists individuals diagnosed with a mental illness and/or substance use disorders to live independently in the community, in accordance with agency policies and procedures. The Care Coordinator will assist individuals to utilize professional, community, and natural supports to address their needs both at home and in the community on their path to recovery.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Completes the MH/AODA Functional Screen online training and 20 hours (or 40 depending on prior social service experience) of training provided by Milwaukee County CARS or in the community within 90-days of hire as outlined by DHS 36. MH/AODA Certification must be renewed every two years.
• Interviews clients to complete the Mental Health/AODA functional screen and develop an individual recovery plan, to include case planning, obtaining and referrals for services, on- going monitoring, modeling, and service coordination.
• Assist clients developing client centered goals and services such as: medical and mental health assistance, obtaining legal assistance and benefits, medication management, in finding employment, training and education, financial management and budgeting, ADL assistance, development of social support systems, AODA services and support, etc.
• Manage caseloads to provide supportive contacts and assist clients in navigating through the community.
• Assess clients needs and complete referrals and meet clients where they are in the community, to include hospitals within established guidelines.
• Provides services such as care coordination as outlined by DHS 36 and Forward Health.
• Assist clients with developing life skills helpful for independent living.
• Completes discharge paperwork if client meets predetermined discharge criteria.
• Transfer clients when services are no longer required or if more services are needed.
• Attend CCS Operation meetings for transfers or discharge of clients.
• Coordinate/provide transportation for clients to and from appointments, to include medical and mental health, shopping, housing, etc.
• Attend and actively participate in departmental meetings and treatment team meetings with other service agencies/supports.
• Complete regular billing/documentation for T-19 reimbursement of services provided to each client.
• Perform on-call coverage as scheduled.
• Complete special projects as assigned.
• Maintain technical competency and remain current in technology and changes in the industry.
• Complete and maintain all required paperwork, records, documents, etc.
• Follow and comply with all safety and work rules and regulations. Maintain departmental housekeeping standards.

MARGINAL JOB FUNCTIONS: Back up other staff members as needed, and assist with developing patient care plans. Organize resource book for assisting in referring clients to needed services.

EDUCATION and/or EXPERIENCE: Minimum Associate's degree in Psychology, Sociology, Social Work or other job related major with one to two years of related experience. Bachelor's or Master's degree strongly preferred. Knowledge of mental health Dx and symptoms, and AODA assessments highly preferred.

CERTIFICATES, LICENSES, REGISTRATIONS: Requires a valid driver's license and current auto insurance.

Considerations & Statement
Outreach Community Health Centers requires employees in certain departments to be fully vaccinated against COVID-19, MMR, Varicella and Influenza.

Outreach Community Health Centers welcomes all
Outreach Community Health Centers, Inc. is an Affirmative Action/Equal Opportunity Employer. We consider qualified applicants for employment without regard to race, religion, color, national origin, ancestry, age, sex, gender, gender identity, gender expression, sexual orientation, genetic information, medical condition, disability, marital status, or protected veteran status.