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Title: LPHA Crisis Care Coordinator Crisis Services (Exempt)
Department: Crisis Services/Crisis Respite/ Jail Diversion Services
- Under the direction of the Crisis Services Director, the Crisis Care Coordinator works as part of the Crisis Services Team to provide specialized care coordination and crisis follow up services to the center's Crisis and Jail Diversion Services (Level of Care 0) and Crisis Relapse and Prevention Services (Level of Care 5) customers.
- The crisis care coordinator monitors follow-up for Center crisis customers following their crisis episodes, hospital discharges and jail releases in order to ensure that these crisis individuals are linked to appropriate and ongoing care. The crisis care coordinator collaborates with mobile crisis case managers, substance use providers, IDD crisis workers, primary care physicians, and other internal and external service providers to ensure coordinated care for the crisis individuals and their families.
- This position assists with crisis intakes as needed to enroll LOC0 customers to LOC5 services, including completing diagnostic assessments, uniform assessments, Person-Centered Recovery Plans and assisting crisis intake individuals with linkage to healthcare providers (internal and external providers).
- The crisis care coordinator utilizes data reports from the Gulf Coast Center electronic health record to monitor key health indicators and flags requiring action for the LOC-5 services customers (i.e. new diagnoses, referrals, crisis episodes, hospital episodes, jail episodes, missed appointments, missed injections, etc).
- The crisis care coordinator provides CBT therapy for assigned crisis individuals.
- The Crisis Care Coordinator will assist crisis services staff with documented clinical supervision at least monthly, including Center MCOT, SLECT and IDD Crisis Intervention Specialist staff.
- Requires a Bachelor's degree from an accredited college or University in the Behavioral Science field of study.
- Requires a licensed LPC, LCSW, or LMFT. LCSW license is preferred.
- At least one year case management or service coordination experience. Knowledge of appropriate community resources and experience with Medicaid Waiver programs is ideal.
- This position requires a demonstrated ability to use good clinical judgment, get along well with others and work effectively in a fast-paced setting. Communicates effectively and professionally, including verbally, non-verbally, in writing and electronically; which may include, but is not limited to, sharing information and ideas, participating in clinical staffings or meetings, providing and accepting feedback to and/or from clinical and operational supervisors, team members and other Gulf Coast Center employees as well as with other agencies or professionals within the community. Communicate all Protected Health Information (PHI) in accordance with federal, state and agency laws and regulations regarding confidentiality and communications. All communication should be reciprocated in a timely manner.
- The Crisis Care Coordinator provides culturally responsive and trauma-informed services. The position works within an integrated holistic model for healthcare at Gulf Coast Center.
- Crisis team members must embrace the concept of teamwork as well as collaborative documentation.
- Exempt under the Fair Labor Standards Act
- Local travel will be required to meet with individuals and their families in the community. Occasional out of town travel may be needed to assist in service linkages. Flexibility is needed in the work schedule to accommodate the needs of individuals and/or their families. Crisis team staff may periodically transport individuals in personal and/or Gulf Coast Center vehicles. Requires flexibility to work in both Galveston and Brazoria counties. Requires current Texas Drivers License, safe and reliable transportation that is current with all State requirements, and liability insurance.
- This position monitors follow-up for Center crisis customers following their crisis episodes, hospital discharges and jail releases in order to ensure that these crisis individuals are linked to appropriate and ongoing care.
- This position assists with crisis intakes as needed to enroll LOC0 customers to LOC5 services, including completing diagnostic assessments, uniform assessments and Person-Centered Recovery Plans.
- The crisis intakes also involve providing recommendations for necessary interventions and linking crisis individuals and families to healthcare providers (internal and external providers).
- This position collaborates with mobile crisis case managers, substance use providers, IDD crisis workers, primary care physicians, and other internal and external service providers to coordinate care for crisis individuals and their families.
- The crisis care coordinator contacts crisis customers by phone within one week and again within thirty days of their crisis episodes in order ensure crisis individuals are linked to ongoing care and that they have access to resources to avoid future crises.
- Crisis care coordinator completes logistical activities for LOC-5 individuals including tracking of referrals and transitions, addressing barriers to referrals, following up on missed appointments , engaging MCO Service Coordinators as needed and building relationships with a broad range of specialists and providers.
- Crisis care coordinator completes clinical monitoring activities for LOC-5 individuals including tracking and following up on lab/imaging, tracking indicators related to CCBHC Quality metrics and hospital discharge planning and follow-up.
- Crisis care coordinator completes medication management activities for LOC-5 individuals including medication reconciliation after transitions and on-going medication management across systems.
- Crisis care coordinator will conduct CCBHC specific assessments (NOMS) and standardized surveys at intervals to be determined.
- The crisis care coordinator utilizes data reports from the Gulf Coast Center electronic health record to monitor key health indicators and flags requiring action for the LOC-5 services customers (i.e. new diagnoses, referrals, crisis episodes, hospital episodes, jail episodes, missed appointments, missed injections, etc). Conducts focus groups with clinical staff as needed to augment data review with qualitative feedback.
- The crisis care coordinator provides CBT therapy for assigned crisis individuals.
- Follows-up on tasks assigned by the crisis clinic medical provider for customers needing assistance with care coordination activities (i.e. unable to access medication through insurance plan, missing records, identification of an in-network specialist).
- Monitors LOC-5 crisis customers' discharge readiness and transitions in collaboration with the person's recovery team. Assists individuals with connecting to internal (LOC1-4) and external providers when they are ready to successfully transition from LOC5 services, including coordination of record sharing.
- Completes documentation for all services concurrently with the person and the family as much as possible and no later than 48 hours after the service.
- A specific productivity expectation or measure has not yet been established, as the Care Coordination position and program are new to our system of care. An addendum will be added to this job description when we are able to define the achievement expectations for Care Coordinators.
- Crisis Care Coordinator will assist crisis services staff with documented clinical supervision at least monthly, including Center MCOT, SLECT and IDD Crisis Intervention Specialist staff.
- This position may provide back up to the mobile crisis services team as needed including mobile crisis and crisis follow up services as needed, including after hours.
- Responsible for ensuring completion of the initial and annual ANSA/CANS recertification in accordance with the Praed Foundation and HHSC performance contract requirements. A lapse/expiration in certification will result in termination of employment. Exception: If certification lapse/expiration is reported to supervisor within 24 hours of expiration date, employee will be granted opportunity to recertify by close of following business day. Any lapse/expiration greater than 24 hours will result in termination of employment. Additionally, all certified practitioners are responsible for participating in semi-annual quality assurance training activity conducted y the identified ANSA/CANS Super User.
- Responsible for completing any and all other tasks as assigned by the Director of Crisis Services