FRED FINCH YOUTH & FAMILY SERVICES
Care Coordinator - WRAP Connections (Finance)
Assesses Strengths and Needs:
Gathers, organizes, summarizes and interprets behavioral health and biopsychosocial information, including identifying participant/family/community values, goals, and priorities, along with strengths, resources, natural supports, stressors, deficits, disparities, problems, and needs, using a culturally grounded approach.
Conducts clinical evaluation proficiently, including risk screening, assessment and diagnosis of symptoms.
Detects warning signs and anticipates needs; reassesses routinely by conducting a thorough review of goals and priorities.
Demonstrates knowledge of individual and family assessments and involves family and collateral contacts, with participant consent.
Demonstrates knowledge of child/adolescent/young adult development and emotional disorders as relevant to program's target population.
Conducts analysis and assessment of behavioral health conditions in the context of diverse identities drawing on race, ethnicity, culture, social economic status, gender, sexual orientation, immigration status and other socially constructed factors; is familiar with within-group differences and across-group similarities.
Provides Services:
Establishes trust, builds rapport, and is empathetic and compassionate to participants and families.
Engages and activates participants in their treatment planning and care
Plans and implements treatment and discharge plans.
Demonstrates knowledge of diagnosis, differential treatment approaches and interventions including intensive case management services
Selects and utilizes culturally grounded interventions to ameliorate behavioral health conditions and promote health equity, culturally adapting evidence-based practices as needed.
Provides developmentally appropriate therapeutic, emotional, and biopsychosocial health support and treatment, including but not limited to individual, family, and/or group therapy and rehabilitation services, consistent with program model, and involving multiple systems planning and coordination.
Educates participants/families about services, supports, resources and treatment options that are available and appropriate for their situation.
Works collaboratively with collateral resources such as residence or housing staff, therapeutic behavioral service providers, medical providers, educators, and/or psychiatric providers.
Applies assessment and evaluation tools to measure progress and outcomes; communicates progress and outcomes to participants/families.
Meets service delivery goals (up to 65% of work schedule with participants, depending upon program) in response to participant needs.
Individualizes Care in accordance with FF Values:
Delivers services in a manner consistent with FF core values of participant/family- centered, culturally responsive, strength-based, complexity capable, trauma-informed, and needs-driven practice.
Assesses the influence of key individual, family, and community characteristics; tailors services to individual/family/community characteristics; modifies plans and services based on participant/family experience.
Delivers services to participants with an awareness and integration of the developmental milestones of children, youth, or young adults, including those impacted by trauma.
Demonstrates Cultural Responsiveness: works with the "whole person;" is welcoming, inclusive and respectful; embodies cultural humility; appreciates diversity.
Embodies trauma-informed principles: Manages stress, maintains health; is self-aware and regulates emotions in order to be present for and responsive to others; is reflective and thoughtful when faced with complex, uncertain or ambiguous situations; maintains openness and approaches situations with an appreciation for multiple perspectives and a spirit of inquiry; promotes participant/family "voice and choice" about services.
Crisis Prevention and Intervention:
Participates on a rotating basis in providing clinical 24 hour on-call coverage in accordance with agency policy as needed.
Collaborate with team and/or supervisor to screen for risk of danger to self or others on a regular basis and in response to indication of changing risk based on participant's internal condition or external situation; creates and implements safety plans accordingly.
Demonstrates knowledge of clinical risk management including risk assessment for danger to self or others; uses clinical judgement and interviewing to assess an individual's current level of risk and associated risk factors; engages participant/family in safety planning.
Utilizes de-escalation techniques, including but not limited to: attentiveness to potential triggers/stressors and early indicators of distress; motivational interviewing; reflective listening; providing responses that rely on engagement and empathy; modeling composure through use of calm voice and neutral facial expressions; remaining self-aware of verbal and non-verbal communication, demonstrated ability to adjust verbal and non-verbal communication, prompting for use of known coping skills; etc., to defuse distress and ensure safety in a manner that aligns with the trauma informed care model.
Case Management/Care Coordination:
Coordinates care collaboratively with treatment team and collateral contacts throughout the assessment, reassessment, treatment planning, service delivery, and discharge planning process.
Links participants to resources by identifying recommended resources; supporting individual's and family's decision-making in selecting resources; and connecting individuals and families to community resources.
Assesses participants' health and behavioral health service delivery systems and community resources for strengths, limitations, cultural relevance and impact, and modifies referral process accordingly.
Advocates on behalf of participants and families by supporting and coaching participants in self-advocacy.
Working with Others/Teamwork:
Communicates collaboratively and regularly with essential team members to keep them informed and to facilitate continuous open lines of communication and to integrate care across systems.
Considers the mode, timing, frequency, method, context, and amount of information to offer to others.
Communicates clearly and effectively, both verbally and in writing, with co- workers, supervisors, participants, and other providers.
Comprehends, follows, and clearly conveys instructions to others.
Builds positive relationships; maintains appropriate boundaries.
Collaborates as part of an integrated team that may include peer specialists, psychiatric providers, and/or paraprofessional staff. Understands, values, and adapts to the diverse professional cultures of an integrated care team.
Provides clinical leadership and consultation to other treatment team members, within and outside FF.
Participates on agency Continuous Quality Improvement Committees, if assigned.
Documentation:
Writes concise, clear, and cohesive progress notes and reports in a timely manner.
Utilizes the Electronic Health Record system(s) or other technology effectively to complete documentation.
Demonstrates knowledge of and capacity to meet documentation standards in accordance with agency deadlines.
Participates in quality assurance activities as assigned.
Verifies all aspects of documentation meet or exceed county, state and federal guidelines.
Meets all HIPAA standards including but not limited to in exchanging information, keeping Protected Health Information (PHI) secure, and following procedures to protect electronic transmission/access to PHI at the agency and in the community.
Behaving Professionally and Ethically:
Fulfills responsibilities and commitments.
Maintains clear and healthy interpersonal boundaries, complies with laws and regulations, and adheres to all professional ethical standards including abuse reporting and maintenance of participant confidentiality.
Adheres to all agency and program policies including Boundary Code of Ethics, Code of Conduct, Employee Handbook and state and federal regulations.
Participates in supervision and training, and provides training as assigned.
Manages work relationships and workload and adapts to organizational change.
Seeks opportunities to improve knowledge, skills, and abilities.
Strives for excellence, has positive attitude, accepts changes flexibly, is collaborative, is relationship-oriented, shows initiative, attends to detail, is accurate, and is responsible.
Represents FF with integrity in every community situation, including participation in community committees and presentations as assigned.
Additional Duties:
Other related duties as assigned by Supervisor.
Drives on agency business as required.
Qualifications
Required
M.A. Degree in Social Work or Counseling from an accredited college or university.
Registered associate (AMFT or ACSW, or APCC with relevant experience with target population) with the Board of Behavioral Sciences. Some programs may consider candidates who are able to obtain registered status within first s i x ( 6) months after hire. (If working in a program licensed by Community Care Licensing must meet minimum training and experience requirements - for more information please see http://www.cdss.ca.gov/cdssweb/entres/pdf/CCR/STRTP_ILS.pdf )
Certified to conduct a CANS/ANSA assessment within 90 days of employment if CANS/ANSA utilized by program.
Supervised experience in providing counseling and/or psychotherapy services
Demonstrated knowledge in the areas of diagnostic assessment,
individual/family/group behavioral treatment methods for target population of program.
Experience with or knowledge of designing, supervising, monitoring, changing, and discontinuing individualized behavioral interventions for staff delivering behavioral services (e.g., TBS).
Demonstrated knowledge of risk assessment, including danger to self or others, and effective community-based interventions for those with high risk.
Demonstrated cultural responsiveness in working with diverse families and communities.
Must be able to respond quickly to emergencies, and to learn and implement Pro- ACT (or other agency approved crisis de-escalation training).
Clean driving record: current CA Driver's License or ability to obtain within 10 days after hired.
Must have access to dependable transportation; personal car insurance meeting minimum liability coverage required if position requires driving for work or transporting participants.
Basic computer and keyboarding competence with the ability to use Microsoft Office Suite and/or competency with electronic clinical documentation systems.
Preferred
License (LCSW or MFT or LPCC) preferred.
One (1) year post-graduate school experience with program target population (Example: intellectually disabled, homeless, teens or young adults, seriously emotionally disturbed).
One ( 1 ) year experience with program modality (example: school-based, residential, mobile/community-based, wraparound, etc.
Demonstrated ability to assess, triage and organize work.
Applies a strength-based, culturally responsive, trauma-informed, and flexible approach to supervision, participant and community service, in order to support participant recovery, health, and wellness.
Familiarity, training, certification, or experience with recovery-model orientation, public mental health and child welfare systems, and/or relevant evidence-based practices (e.g., CBT, DBT, EMDR, trauma-informed interventions).
Exhibits strong behavioral, crisis management and family/individual/group therapy skills.
Fluency in prevailing language(s) of the community.