Care Coordinator

TITLE

• CARE
• Coordinator
• Reports to:
• Home-Based
• Services
• Supervisor
• STATUS:
• EXEMPT
• MAIN
• FUNCTION: The Care Coordinator supports clients by facilitating access to behavioral health, medical, and social services. This position coordinates care across multiple providers and systems to ensure clients receive comprehensive, person-centered services that promote recovery and well-being. The Care Coordinator collaborates closely with clients, families, and the multidisciplinary team to assist in implementing and monitoring individualized care plans.
• DUTIES/RESPONSIBILITIES: Provide all services in accordance with the policies and procedures of Heartland Counseling Services, applicable professional codes of ethics, and all payor, licensing, and governmental rules. Conduct and Review comprehensive Needs Assessment to identify client needs, strengths, and barriers while considering provider recommendations. Implement, and monitor individualized care plans in collaboration with clients, families, and clinical teams. Facilitate timely access to behavioral health, physical health, social, and community resources. Coordinate referrals and follow-up with internal and external providers to ensure continuity of care. Coordination during transitions in levels of care. Document client services provided according to clinical standards, rules, regulations, and agency procedures. Participate in interdisciplinary team meetings, care coordination meetings, and quality improvement initiatives. Assist clients with appointment scheduling, transportation, and other logistical needs. Advocate for clients to reduce barriers to care, including addressing social determinants of health. Maintain confidentiality and professional boundaries at all times. Collaborate with providers such as primary care physicians, therapists, nurses, and peer support specialists. Assist with the collection, maintenance, and analysis of participant data as needed. Ensure compliance with all required regulations and standards. Perform other related duties as assigned.

Required skills/Abilities

Maintains confidentiality when working with clients. Strong verbal and written communication skills. Ability to work effectively in a multidisciplinary team environment. Knowledge of behavioral health, substance use, and social service systems. Skilled in problem-solving and client advocacy. Proficient in electronic health records (EHR) documentation. Ability to develop positive relationships with diverse populations. Strong organizational and time management skills. Possess a valid driver’s license and an insurable driving record (if applicable).

Education & experience

Bachelor’s degree in social work, psychology, nursing, counseling, or related field preferred. Minimum 2 years of experience in behavioral health, case management, or care coordination. Experience in a CCBHC or community mental health setting preferred.

Physical requirements

Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times.