Nurse Care Coordinator Job Code:12741 Location:Saco 04072 Department:Behavioral Health Home FT/PT Status:Full Time Summary: The Nurse Care Coordinator shall provide regional primary care consultation, psychiatric care consultation; work with the Behavioral Health Home Organization (BHHO) & Certified Community Behavioral Health Clinic (CCBHC) team, Child Assertive Community Treatment Team, Private Non-Medical Institute, and other members to facilitate care across the healthcare continuum. **$10,000 sign-on Bonus!** **Pay starts at $33/hour!** **ESSENTIAL FUNCTIONS:** + Provide education and support around medications to the Interdisciplinary Team (IDT), members, and families. + Provide medical education about chronic disease management to IDT members, families and groups. + Liaison to Health Home, ACT Teams, CCBHC Practices/Primary Care Physicians. + Collaborate with the IDT on member plan of care. + Review Health Questionnaire and provide recommendations to IDT and/or members and families for medically compromised participants. + Assist, and/or make recommendations regarding skill development in activities of daily living, including hygiene, nutrition, exercise, general health maintenance/improvement. + Support implementation of grant funded projects such as In-Shape, CTI, and other health and wellness pay for performance initiatives in geographical area where program is offered. + Support Behavioral Health Home team, CCBHC and Child ACT in achieving organizational and state required outcomes, including but not limited to A1C testing, tobacco screening and annual health screenings. + Be proficient in EHR, HIN, and VMS systems in order to extract clinical data and alerts in order to support level of care. + Consult with IDT and members as indicated regarding discharge planning recommendations and follow up. + Monitor emergency department usage and coordinate with IDT and other providers to promote least restrictive level of care. + Medication reconciliation through EHR from external providers (i.e. PCP, Specialists, etc.) when appropriate. + Provide medication and medical education to Interdisciplinary Team (IDT), members, and families. + Complete pharmacy enrollments, medical equipment orders, and other supports/services to support recovery goals. + Provide CRMA Training and Supervision as needed. + Schedules will vary according to program needs (as applicable): + On-call responsibilities as assigned **GENERAL EXPECTATIONS:** + Provide excellent customer service + Active participation in supervision of student interns, as appropriate and needed. + Ensure the confidentiality of all patient information and release of information from area(s) of responsibility. + Ability to support and recognize the important role volunteers play. Sweetser employees work with, support, collaborate with volunteers, and promote opportunities for volunteer engagement + Exercise judgment consistent with clinically accepted standards of community practice in determining whether to transport a particular patient(s). + Maintain adequate personal vehicle insurance coverage, a valid state driver’s license, a vehicle that is in good repair and a good driving record as per organization policy. + Active participation in required supervision as determined with Program Manager according to licensure level. + Timely and accurate provision of administrative paperwork according to the time frame established by the organization’s policies. + Active participation in administrative meetings, including program meetings and general staff meetings. + Understand and comply with all Sweetser policies and procedures as identified in the Human Resources Policy Manual. + Maintain administrative responsibility (charting/documentation, etc.) + Active participation in in-service training and continuing education programs. + Active participation in providing community education to staff, community groups, etc., as appropriate and needed. + Maintain minimum number of training hours mandated by professional licensure and required by state licensing. + Maintain relationships with patients that promote dignity, equality and self-determination. + Provide productive and supportive collaboration with peers/colleagues in the same program and across programs. + Maintain productive and efficient relationships with all organization-wide personnel and programs. + Maintain positive representation of the organization, at all times, with the public. + Follow Suicide safer care practices. + Other duties as assigned. **EDUCATION:** + Graduate from an accredited school of nursing. **CERTIFICATES, LICENSES, REGISTRATIONS:** + Current RN license in the State of Maine. + Maintain a valid state driver’s license. + Must be able to speak, read, and write English fluently. **EXPERIENCE:** + Previous experience working with adults with serious and persistent mental illness preferred.