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Care Coordinator – Health Homes

Frontier Behavioral Health

This is a Full-time position in Spokane, WA posted January 9, 2022.

Frontier Behavioral Health’s presence in Spokane is more than 100 years strong, allowing our non-profit organization to understand the varied needs of our clients and the larger community.

Our programs are designed to provide evidence-based treatment to adults, youth and seniors who are dealing with a wide range of behavioral health issues.

As a Trauma-Informed Care Organization, we firmly believe in recovery and that our clients can lead fulfilling and meaningful lives, and we consider it an honor and a privilege to assist then in their journey.

If you want to have a positive impact in the lives of others come join us!

Frontier Behavioral Health contracts with Molina and Community Health Plan of Washington to provide Care Coordination to individuals who have multiple chronic conditions, have been identified as medically vulnerable and are at risk for ongoing high usage of emergency care.

Care Coordinators are responsible for engaging with assigned members, assessing patient needs, providing education, support, coordination of care and referrals to community resources, with the goal of helping members attain or improve self-management of their conditions.

The Care Coordinator is responsible for creating and reinforcing Health Action Plans to address social and chronic medical and behavioral conditions.

Care Coordinators are also responsible for coordinating referrals to community services and clinically indicated services such as social services, mental health care, substance abuse treatment and long term supports and services.

Most work is off-site, typically in members’ homes.

ESSENTIAL DUTIES & RESPONSIBILITIES includes but are not limited to the following:
Provide outreach services and health assessments to patients.
Meet in person and over the phone with members assigned to caseload and maintain communication to initiate, develop and finalize the Health Action Plan (HAP).
Screen, assess and provide brief interventions for common mental and substance abuse disorders, providing patient education about available treatment options.

Complete required periodic health and behavioral screenings.
Use decision support tools and registries to coordinate services and care across different settings and types of providers, identifying opportunities to streamline or otherwise improve services and eliminate duplication.
Monitor members (in person or by telephone) for changes in symptoms and treatment side effects or complications and link with appropriate care providers when necessary.
Provide brief intervention using evidence-based techniques such as behavioral activation, motivational interviewing, or other relevant skills.
Document patient progress and treatment recommendations.
Routinely assess progress with members Health Action Plans and revise to include new goals or changes in current goals.
Facilitate referrals for indicated social and specialty services (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment).
Complete core training curriculum and participate in regular training and technical assistance activities for health home care coordinators.

Bachelor’s degree in the behavioral sciences.
One year of related experience working in behavioral health care or a health care setting.
Master’s degree in social work or the behavioral sciences.
Some experience working with children.

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