Description

The Transition Team provides services for individuals of all ages with acute symptoms of mental health and/or substance use disorders who are transitioning from a higher level of care such as a hospital, jail, or residential treatment facility. The team
specializes in supporting individuals who are at risk for needing a higher level of care and/or those on a new mental health certification. The team provides wraparound services including case management, linkage to resources in their community, skillbuilding, motivational interviewing, safety planning, and brief CBT to minimize symptoms and reduce the need for behavioral health interventions and hospitalizations.

Hourly Rate: $18 – $22 an hour

Job Purpose:
To promote efficient coordination of client care through collaborative practice and ongoing case management in order to improve care delivery and health outcomes.

Goals and Objectives:
• Meet productivity standards for the job role.
• Maintain an active caseload of clients as determined by department standards.
• Provide and document clinical care interventions to meet regulatory standards and/or contractual requirements.
• Improve client satisfaction and related health outcomes through delivery of person-centered treatment planning and collaborative care.
• Promote positive culture of collaboration within AllHealth Network.

Duties and Responsibilities:
• Work closely and collaborate within a team-based model to ensure effective and efficient delivery of care coordination and case management services. Includes telephonic and face-to-face contact; travel as required for hospital, provider offices, community-based organizations and/or home visits; partnering with care navigator staff.
• Motivate clients to participate in the program by establishing a therapeutic relationship.
• Maintain a caseload of clients in accordance with department policy, to gain optimal functioning and sustain improvements in health management.
• Complete comprehensive assessments that collect in-depth information about a client’s unique situation and functioning in order to identify their individual needs. Information gathered should include, but not limited to; medical, psychosocial and behavioral health.
• Develop and implement cost-effective care plans using a multidisciplinary process that address client identified needs.
• Assist clients in identifying health care goals and coordinating services and providers to meet those goals. Utilize professional judgment and critical thinking to assist the client in overcoming barriers to goal achievement. Modify care plan as necessary.
• Act as a client advocate and a liaison between internal and external providers, and community resources to seamlessly integrate and coordinate services.
• Provide clinical and coaching services that are consistent with the client’s readiness to change and client engagement. Interventions may include, but are not limited to: motivational interviewing to facilitate health behavior change, cognitive behavioral strategies, skills-based training, and self-management support.
• Make referrals to community based organizations and resources that are consistent with the identified needs in the plan of care and/or by the client.
• Positively contribute to the financial health of the organization by ensuring delivery of billable services and utilizing, monitoring and collecting data for decision making and program improvements.
• Maintain a positive, ethical, and professional working relationship with community, government agencies, and other professionals.
• Participate and contribute to departmental meetings, team huddles, rounds, supervision and other meetings, as needed, to ensure cohesive department operations.
• Enhance professional growth and development through participation in specialized training.
• Perform case management services consistent with ethical and professional standards established by CMSA and disciplines pertinent to the employee.
• Follow all AllHealth Network policies and procedures.
• Complete all required trainings as listed in Relias Learning (both online training and face-to-face training) within required timelines.
• Perform other duties as required within the scope of the position and the experience, education and ability of the employee.

Key Technical Skills and Knowledge:
Education:

• Bachelors degree in a related clinical field such as Social Work, Clinical Psychology, or Counseling.

Experience:
• Minimum of 2 years of related clinical practice experience with diverse populations in a physical and/or behavioral health setting.
• Experience in case management, care coordination, and/or community health required.

Skills/Knowledge:
• Demonstrated ability for assessment, evaluation, and interpretation of behavioral health information, and care planning.
• Knowledge of and familiarity with case management concepts, principles and strategies.
• Possess a high level of understanding of community resources, treatment options, funding options and special programs.
• Ability to operate PC-based software programs including proficiency in Word, Excel and PowerPoint and other computer based systems.
• Advanced written and oral communication, decision making and problem solving skills, efficient time management with multi-tasking ability.
• Excellent interpersonal skills, the ability to work independently and as part of a team; collaborating with other internal and external teams.

*********Must possess own transportation, have a good driving record, a valid driver’s license, and proof of insurance.

Benefits & Perks:

Our facility is approved by the Colorado Health Service Corps (CHSC), and we offer our employees the opportunity to participate in our Loan Repayment Program. Additionally, we provide a comprehensive compensation and benefits package which includes:

• Positive, collaborative team culture
• Competitive compensation structure
• Medical Insurance, Dental Insurance, Basic Life and AD&D Insurance, Short- and Long-Term Disability Insurance, Flexible Spending Accounts
• Retirement Savings 401k, company match up to 50% of the first 6% contributed
• Excellent Paid Time Off & Paid Holidays Off
• Additional Benefits

AllHealth Network is dedicated to the principles of equal employment opportunity.  We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, sex, color, religion, national origin, disability, marital status, gender, sexual orientation, genetic information, or any other status protected by applicable state or local law.