Job Purpose: Responsible for providing behavioral health support and coordinated care for patients with substance use diagnoses. Ensures enhanced patient engagement by addressing barriers to care, increasing patient motivation, and establishing professional, dynamic relationships with patients, providers, referral sources, and other involved parties.
Essential Duties and Responsibilities:
Establish relationships to coordinate patient referrals between patient's provider and referral source to promote patient-centered services and ensure all reports are received by PCC
Provide linkage to medical and behavioral health services to patients receiving care in the emergency department and hospital
Support patients connected to inpatient and outpatient addiction medicine services at serviced hospitals with transitions of care to PCC and partnering community organizations.
Conduct community outreach and home visits to increase engagement of patients in health services
Attend community outreach events as representative of PCC
Collaborate with providers and patients to provide patients services needed for successful follow-up
Openly identifies as a person who has lived experience or family member with lived experience of using/ have used substance use or mental health services when appropriate.
Advocate on patient's behalf if needed to ensure completion of referrals
Decrease barriers to care, increase motivation, and foster open communication under direction and guidance of the Assistant Director of Complex Care.
Demonstrates ways to become empowered and self-responsible.
Promotes consumer engagement in substance use services if needed.
Co-facilitates groups with behavioral health consultants
Provide self-help recovery services
Maintains appropriate professional standards and provides appropriate follow-up for consumers.
Achieve outcome-based metrics for performance
Maximize services within care coordinator scope and refer to other staff as needed based on patients' need and staff members' position, licensure and scope of services
Prepare data and documentation and have charts prepped for all applicable Case Management sessions
Regularly attend and participate in monthly site team meetings
Contribute to patient education materials and strategies to support care coordination
Work with manager and team to create flow charts, workflows and document tracking process as needed
Develop supportive services and tools to address common barriers to care for PCC patients; integrate these with other initiatives for health promotion/education and access to care
Performs other duties as required and assigned
Numbers & Facts
Location
Chicago, IL
Skills
Behavioral Healthunmatched
Communication Skillsunmatched
Document Trackingunmatched
Emergency Careunmatched
Healthcareunmatched
Hospitalunmatched
Identify Issuesunmatched
Medicineunmatched
Organizational Skillsunmatched
Outpatient Careunmatched
Patient Careunmatched
Patient Educationunmatched
Performance Metricsunmatched
Team Playerunmatched
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