EPIC Care Coordinator Mission Statement: It is the mission of Life Management Center to empower persons to improve the quality of life for themselves and their families through the provision of quality behavioral health care with unrelenting attention to clinical excellence and safety. JOB SUMMARY: The purpose of mental health care coordination services is to engage priority individuals (recipients) and their natural supports who are not yet effectively connected with services to ensure service linkage, to enhance the delivery of treatment services and recovery supports and to improve outcomes among priority populations. Priority populations include: Adults with SMI, SUD, or co-occurring disorders who demonstrate high utilization of acute care services, including CSU, inpatient and detox services. High utilization is defined as adults with 3 or more acute care admissions within 180 days; or, Adults with acute care admissions that last 16 days or longer. The Care Coordinator will be responsible for coordination of services, supports, and cross system collaboration to ensure the individuals needs are met. ESSENTIAL/CORE JOB-SPECIFIC DUTIES AND RESPONSIBILITIES 1. Utilize the LOCUS level of care tool and assessments to identify service needs and choices of the individual served. 2. Serve as the single point of accountability for the coordination of an individuals care with all involved parties (e.g. criminal justice, child welfare, primary care, housing, etc.). Coordinate care across systems Follow the individual from beginning to end until a warm-hand off is made. 3. Engage the individual in their current setting (e.g., CSU, Detox, homeless shelter, clients home, etc.) 4. Develop a client service plan with the individual based on shared decision making that emphasizes self-management, recovery and wellness, including transition to community based services or supports. 5. Meets Service Productivity standard of at least 75% (or 6 out of 8 work hours) for the provision of Care coordination services in accordance with applicable clinical/quality criteria which are supported by appropriate clinical record documentation which meet Client Record Handbook specifications, Avatar documentation requirements, and Agency business/clinical ethical standards. 6. Progress Notes: Documents all services provided in the client record in accordance with Client Record Handbook Guidelines. Document must be finalized in Avatar within 48 hours from the time the service was rendered. Progress notes must be detailed and clearly reflect how the care coordinators efforts are linked to the services and goals in the clients service plan and the clients progress or lack of progress relative to the service plan. Maintain at least 85% compliance with progress note requirements on Clinical Reviews conducted during rating period. 7. Provide frequent contact for the first 30 days of services ranging from daily to a minimum of three times per week. Document all attempted contact to engage the individual in the client record. OTHER JOB-SPECIFIC: 1. Assess the individual for eligibility for Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), Veterans Administration benefits, housing benefits and public benefits, and assist them in obtaining eligible benefits. 2. Attends and participates in staff/unit meetings as required. CLINICAL COMPETENCIES/PERFORMANCE 1. Demonstrates knowledge and skills to systematically obtain, analyze, and interpret relevant data and information to determine treatment recommendations and priorities. 2. Demonstrates knowledge about substance abuse, dependence, and other addictive behaviors and their treatment. Demonstrates ability to screen for psychoactive substance toxicity, intoxication, withdrawal symptoms, and co-existing mental health problems; and determine the clients readiness for treatment and change. 3. Demonstrates ability to screen f r danger to self or others. 4. Demonstrates understanding of the range of treatment needed and knowledge of available treatment resources and their appropriate use in formulating with the client mutually agreed-upon treatment goals and measurable objectives. 5. Therapeutic Relationships/Ethics: Effectively establishes rapport, maintains appropriate therapeutic relationships, empathizes and communicates with clients. Respects and ensures protection of client rights and confidentiality/ privacy. Demonstrates knowledge of and adherence to accepted ethical and professional standards of conduct. 6. Demonstrates knowledge and skills of Trauma Informed Care to assist clients with potential paths for recovery and recognize the signs and symptoms of trauma. CENTERWIDE EXPECTATIONS 1. Performance Improvement: Initiates efforts to improve job, program, or Agency performance and quality of services. As appropriate, participates in Life Management Centers performance improvement initiatives or activities (e.g., work teams, committees, etc.). 2. Initiative/Acceptance of Responsibility: Demonstrates self-motivation and self-reliance. Performs tasks willingly and carries out assigned duties. Adjusts to peaks in work load; demonstrates flexibility and adaptability to change. Performs additional responsibilities as needed/required. 3. Attitude/Customer Relations: Demonstrates a positive, supportive, respectful and helpful attitude in interactions with all clients, visitors, other employees and the public. Contributes to cohesive group relationships; uses open communication to identify and resolve problems in and between units/departments. 4. Patient Safety: Demonstrates a commitment to ensuring services provided/job performed promote and maintain a culture of patient safety throughout the agency. Effectively communicates and proactively identifies risks to help reduce errors and other factors that may contribute to unintended adverse outcomes. 5. Performance Appraisal: Conducts or assures completion of the formal performance appraisal process for assigned staff and programs. Maintains at least 90% compliance with on-time completion and submission to HR for assigned appraisals. 6. Attendance: Observes assigned work hours, use and scheduling of leave, and punctuality by using the time and attendance syste