Primary Job Functions:
Clinical Responsibilities
- Assists patient with paperwork including admissions, discharges, etc
- Coordinates care between healthcare providers and patient
- Ensures treatment providers have results of screeners completed at intake and as indicated
- Assists patients in connecting to primary healthcare
- Assists patients in connecting with benefits specialist
- Assists patients in connecting with appropriate therapist
- Assists patients in referrals to TCM, IPS, Day Programs, Residential Programs, ACT, and any other internal programs needed
- Educates patient regarding services available
- Assists in ensuring treatment team has information needed during Huddle
- Provides support and assistance throughout the healthcare process
- Facilitates communication between patients and healthcare teams
- Conducts follow up after hospital admissions to ensure proper care coordination
- Connects patient with available community resources and services
- Helps patient overcome logistical barriers to accessing care to include assisting with transportation arrangements for medical appointments
- Participates in interdisciplinary care teams to support complex cases
- Coordinates implementation of internal services
- Assesses social drivers of health to assist in reducing disparties
- Provides ongoing monitoring of consumers’ progress and needs with the patient
- Evaluates the patient for needed changes in Risk Levels
- Updates CCBHC Client Treatment Plan
Supervision and Consultation
- Seeks clinical supervision and consultation as needed
- Accepts and employs suggestions for improvement
- Actively works to enhance care management skills
Clinical Record Keeping
- Documents interactions with patients when needed
- Documents within AVATARNx appropriate follow up and provision of linkage to services.
Courteous and respectful attitudes towards patients, visitors and co-workers
- Treats patients with care, dignity and respect
- Respects patient’s privacy and confidentiality
- Is pleasant and cooperative with others
- Personal values don’t inhibit ability to relate and care for others
- Is sensitive to the patient’s needs, expectations and individual differences
Case Load Management:
- Effectively manages caseload based on patient needs and staffs with supervisor regularly
Administrative and Other Related Duties as Assigned:
- Actively participates in Performance Improvement activities
- Actively participates in AltaPointe committees as required
- Follows AltaPointe policies and procedures
- Attends to required in-service training and other workshops