Trinity Health IHT Clinical Case Coordinator Brightside - Holyoke - Per Diem in West Springfield, Massachusetts

Facility: Brightside, Inc. Provides clinical direction/therapy for intensive home based stabilization services to families and foster families in their homes for as long as medically necessary. Develops treatment plans and coordinates timeliness of implementation with insurance providers. Maintains 25 hours of productivity. Supervises, directs and coordinates Clinician I’s in providing therapeutic treatment to families and children. Collaborates with community service providers to provide clinical treatment.

*PRIMARY JOB RESPONSIBILITIES AND DUTIES*

  • Once the assignment is given, calls family within 24 hours to set first appointment. Makes every attempt to provide services within three (3) days and will notify supervisor if family has not engaged in services within five (5) days.
  • Obtains Mass Health initial authorization within two (2) days, faxes initial treatment goals to private insurers for approval within three (3) days, and sets up concurrent review schedule. Ensures on going unit tracking and that authorizations are timely and communicated to billing dept.
  • Reviews/assists family in completing intake materials. Develops initial treatment goals within the first session and gathers information to completed CANS (Children’s Adolescent Needs Survey) and Comprehensive Assessment (CA); communicates plan with the Clinician I.
  • Contact is made with the out-patient clinician within three (3) days and with other involved professionals within seven (7) days. A list of Natural Supports is made and invited in the wrap around process.
  • Completes treatment plan (IAP) with the input of the providers and natural supports within the specifications of the insurance company. Submits CA and IAP plan to Quality Improvement Council within the first three weeks. Coordinator will ensure treatment plan is implemented by all providers.
  • Writes strength-based, solution-oriented goals and assessments for treatment plans, from admission to discharge, with family and service providers. Ensures implementation of the treatment plan with all providers. Updates plans every three months and resubmits to Quality Improvement Council.
  • Monitors units and obtains authorizations and additional units in a timely fashion and works collaboratively with billing personal in communicating changes to authorizations.
  • Monitors clinicians' encounter forms for accuracy and insurance information. Ensures encounter forms are handed in timely and reports all concerns to Supervisor.
  • Completes encounter forms on a daily basis, clearly documenting numbers of hours per service, progress toward goals, cancellations, changes of treatment or discharge of service, and submits package weekly based on department requirements.
  • Coaches work performance of Clinician I counselors and interns to promote efficient and effective therapeutic performance. Communicates daily with Clinician I on therapeutic planning and schedules weekly supervision sessions, including co-family therapy meetings to assist the clinicians in developing family system dynamics. Ensures clinicians are instructing the families in parenting techniques and various behavioral management techniques.
  • Ensures clinicians are coordinating services with community resources.
  • Recognizes potential trouble areas and takes the steps necessary to minimize any unnecessary repercussions for the family. Assumes on-call availability for the clinicians and families during critical situations.
  • Identifies links and ensures that all assessments are made prior to the family’s discharge. Participates in case conferences, staffing meetings/treatment teams and other consultations meetings as directed by supervisor and as needed to ensure treatment plan.
  • Schedules weekly supervision sessions with Clinical Case Supervisor to review clinical and performance productivity hours.
  • Attends all internal and external treatment team meetings; will initiate or attend all clinical provider meetings.
  • The month prior to discharge, discusses and coordinates the discharge with all providers and natural supports. Reviews all progress made with the family, and goes over all supportive documentation and future problem solving exercises.
  • The discharge plan is completed and reviewed prior to the last session and signed off by the family with an updated crisis plan. A discharge summary is sent to the insurance provider if required and other providers within three (3) days.
  • If a family terminates without notice, or is not participating in services, every effort should be made to contact the family and providers to do an appropriate termination and ensure other supports are in place. Documentation in the file should note above procedures.
  • Demonstrates awareness and sensitivity to cultural differences of families and fellow employees. Incorporates learning from cultural competency trainings in meeting families’ needs.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

*Education: *Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Master’s degree in the social work field including, Masters in Social Work; Marriage and Family Therapy; and Mental Health Clinician. Licensed or with the capability to be licensed preferred.

*Experience: *Requires at least two (2) years of clinical experience with preferred supervisory experience. Work requires analytical ability to design comprehensive treatment plans, and knowledge of professional literature and resources. Computer typing is necessary.

*WORKING CONDITIONS*

  • Involves traveling to the local community, and out-reach to the families’ homes. Conditions of homes maybe unpleasant at times.
  • In the office, physical surroundings are pleasant.
REPORTING RELATIONSHIPS
  • Reports directly to the Clinical Case Supervisor.
  • Has no responsibility for the direct supervision of any other employees.

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Job Number: 00038876

Location: West Springfield, MA

Organization Name: Mercy Medical Center

Facility: SPMA - Hillside Prov

Employment Type: Part time

Shift: Day Shift

Hours: 0