Care Coordinator (Accordia Family Medicine)
AltaPointe Health Systems
Care Coordinator (Accordia Family Medicine) Job Locations US-AL-Mobile Posted Date 2 hours ago(3/7/2025 11:41 AM) Job ID 2025-24134 # of Openings 1 AltaPointe Site Accordia - Family Medicine Category Bachelor Level, Behavioral Position Type Full Time Shift/Hours Monday-Friday 8:00am-5:00pm Responsibilities
Primary Job Functions:
General Responsibilities:
Liaison between Accordia-COP, CMHC and/or PCP as appropriateProvides ongoing monitoring and care coordination for consumers on caseloadProvides care management services to consumers transitioning from more to less restrictive levels of care for medical and psychiatric issuesAssists with meeting reporting requirements of the SAMHSA grant and UDS dataProvides support and advocates on behalf of the consumers in order to secure community resources and needed servicesEffectively collaborates and consults with staff members, including clinicians and pharmacists, and outside sources in the delivery and arrangement of care management servicesEvaluates and assists in consumer transfer/discharge planningProvides training on disease management and healthy living skills according to the consumer’s target goals as identified by care planDemonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situationProvides psychoeducational services to patients and familiesDemonstrates the ability to assess and reevaluate the consumer needs utilizing the CANS, PHQ2, PHQ9, CRAFFT, GPRA and/or other approved assessments as appropriateIdentifies and reassesses goals and plans for appropriate services utilizing the consumer’s care planProvides appropriate linkage to community resourcesDelivers or arranges clinically necessary transportationEffectively demonstrates the application of child and adult specific competenciesMedical Monitoring as defined below:Basic knowledge of normal vital signs including temperature, pulse, blood pressure, and respirationsRecognizing and reporting vital signs outside of normal rangesRecognizing factors that influence temperature, pulse, respirations, and blood pressureRecognizing normal BMI for consumer’s height and weightRecognizing changes in nutritional status such recent weight loss or weight gainIdentifying factors that contribute to obesity and chronic health care conditions such as poor diet, inactivity and sedentary lifestyleEducate consumer on ways to adhere to prescribed dietRecognizing and reporting changes in the consumers medical and mental statusBasic knowledge of operation of assistive devices such as wheel chairs, canes, and walkersRecognizing signs and symptoms of emergency medical conditions and when to call 911Provide education in the maintenance of medications to include recognizing medications and understanding the purpose of medications, possible side effects and what to do when a dose is missed, extra dose taken, or side effects/adverse reaction occurProvide documentation of services rendered in the appropriate space indicated to include but not limited to consumer problem(s), interventions provided, and consumer response to interventions, referrals, collaboration with other care managers, follow up appointments, case management and community outreach services, etc.Documentation of assistance with emergency medications and proper reportingRecognizing signs and symptoms of abuse and neglect and proper reportingSupervision and Consultation:
Seeks supervision and consultation as neededAccepts and employs suggestions for improvementActively works to enhance skills
Clinical Record Keeping:
Documents in a timely fashion per AltaPointe policyDocuments in a clear and concise manner.Documents legibly
Courteous and respectful attitudes towards consumers, visitors and co-workers:
Treats consumers with care, dignity and compassionRespects consumers’ privacy and confidentialityIs pleasant and cooperative with othersAssists consumers and visitors as neededPersonal values don’t inhibit ability to relate to and care for othersIs sensitive to consumers’ needs, expectations and individual differencesIs gentle and calm with consumers and familiesAdopts a team work approach with coworkers
Administrative and Other Related Duties as Assigned:
Actively participates in Performance Improvement activitiesActively participates in AltaPointe committees as requiredCompletes assigned tasks in a timely mannerFollows AltaPointe policies and proceduresAttends appropriate in-services training and other workshops QualificationsBachelor’s degree in a behavioral health or social services related discipline. Certification of case management training by Alabama State Department of Mental Health and experience within the Care Management field preferred; valid verifiable state-issued driver’s license; knowledge in child and adolescent specialties, outlined below, to be attained within six (6) months of employment:
Knowledge of psychiatric disorders in child and adolescent populationsKnowledge of chronic medical conditionsBasic knowledge of growth and development of child consumers as related to all intellectual, emotional, spiritual, and physical aspects consumer developmentBasic knowledge of behavior management and parenting issuesKnowledge of cultural diversityKnowledge of Trauma Informed Care principlesKnowledge of behavior management, crisis intervention and interventions common to acute psychotic consumers, as well as, to non-violent crisis intervention practices.Knowledge of educational methods appropriate to the children and adolescentsKnowledge of behavioral health screening tools (PHQ2, PHQ9, CRAFFT, GPRA and certified by the DMH to administer the Child and Adolescent Needs and Strengths (CANS)Knowledge of social determinants of healthKnowledge of available referral sources for physical health, mental health and social servicesBasic knowledge of utilizing Electronic Health RecordsBasic knowledge of DMH and Medicaid standards
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