HOC BPSR CARE COORDINATOR

POSITION PURPOSE:

BPSR CC provides clinical care coordination, rehabilitation and recovery services for adult clients, ages 18+ with SMIs on an outpatient basis, including adults with a COD; and performs related work required.  

REPORTING RELATIONSHIP: All BPSR CCs report to BPSR CC Manager.  

PROGRAM SUMMARY FOR HEALING OAKS HYBRID OUTPATIENT CLINIC INCLUDING URGENT WALK-IN, ADMINISTRATION, AND MOBILE OUTREACH 

The Healing Oaks Hybrid Outpatient Clinic (HOC), a Short-Doyle Medi-Cal certified (SD/MC) and Drug Medi-Cal (DMC-ODS) Program, that will provide outpatient psychiatric and behavioral health services to individuals ages 18+ with severe mental illnesses (SMI), including co-occurring disorders (COD), in the Central Region of San Diego of zip-code 92114. As a hybrid outpatient and Medication Assisted Treatment (MAT), HOC will provide evidence-based services to include psycho-social rehabilitation practices with a strengths-based emphasis that include psychosocial rehabilitation, psychiatric medication management, individual and group counseling, employment support, peer support, urgent walk-in and assessment, mobile outreach, case management, MAT, ambulatory withdrawal management (WM), recovery services, and both outpatient (ODT) and intensive outpatient (IOT) substance use treatment. These services have been designed to help residents in San Diego County with specialized care for transitional-aged youth (TAY), justice involved individuals, and individuals with co-occurring disorder to include severe mental illness. Through these services, HOC will help residents of the community increase their functionality, live more fulfilling lives, and transition into lower levels of care and ultimately achieve a sustained recovery from substance use and mental illness. HOC’s services also include specialized programs for TAY, Older Adults, and individuals with COD that are person-centered, individualized, clinically effective, outcomes-driven, culturally responsive, gender-specific, trauma-informed, developmentally appropriate, and inclusive of Evidence base (EB) treatment, rehabilitation, and recovery service approaches. 

KNOWLEDGE, SKILLS, AND ABILITIES:

Knowledge of BPSR guidelines/principles of care; Brief solution-focused and recovery approaches/modalities; legal/ethical issues pertaining to delivery of professional services; Group dynamic theories/facilitation methods; Diagnostic categories (DSM-V); Current trend/issues in the field of behavioral health care; Experience working with a culturally diverse population and knowledge of cultural issues, values, & beliefs of the target population of adults w/ SMI, homelessness, co-occurring disorders, and criminogenic risks and needs, relevant to providing appropriate BPSR program services; Clinical assessment of clients with severe mental illness, counseling theory, and clinical care coordination principles, and best practices, cultural and socio-economic issues relevant to providing appropriate rehabilitation and recovery services to special population groups, including Latino, African American, and LGBTQIA+ communities, human behavior and the social environment; Exercise sound, expert independent judgment within general policy guidelines; Communicate clearly and concisely; operate a computer using word processing, spreadsheet, and database software applications; Operate standard office equipment. 

EXPERIENCE AND TRAINING:

Master’s degree and higher (waived PsyD or PhD) in social work, marriage and family therapy, or counseling with graduate level internship experience with SMI clients or 1-2 years post master’s experience working with SMI including those with COD or an equivalent combination of training and experience.  

LICENSES, CERTIFICATES AND SPECIAL REQUIREMENTS:

Must be registered with the Board of Behavioral Science (BBS) Examiners; or is license waivered by State of California, or eligible to register with the BBS Examiners; One Crisis Intervention Specialist CC and one CC position must be Bilingual in Spanish. A Valid Driver’s License with current California automobile insurance; A Valid Cardiopulmonary Resuscitation (CPR) Certification. Some positions require transportation of clients in personal vehicle. 

ESSENTIAL RESPONSIBILITIES AND DUTIES:

Provides ongoing multi-disciplinary care coordination, biopsychosocial assessments, individual/group counseling, case management, and rehabilitative support services to all clients; Works closely with SUD Case Managers to ensure continuity of care for clients dually enrolled; Works with clients to develop service plans, specifying goals/objectives, types of services, and therapeutic interventions; Performs crisis intervention as needed; Assesses/identifies clients’ needs for supportive services on an ongoing basis; Serves as a resource, performing case management services by assisting in obtaining, and/or makes appropriate referrals for. necessary or requested services (e.g., housing, vocational, employment, food, follows up with referral party to ensure client connected to services; Collaborates with other team members on client concerns; Attends, participates in and provides information about assigned clients in service review and care coordination meetings/consultations; Requests assistance/guidance from management/professional staff when necessary to address client issues/problems; Establishes/maintains contact with community resources to ensure continuity of care (e.g., case managers, conservators); Creates detailed documentation of client progress using an EHR system; Maintains client charts/care coordination databases; Updates assigned clients’ progress notes; Maintains daily log of clients seen; Writes necessary communication (e.g., letters for court appearances); Completes pre-assessments, intake and updated assessments, and other necessary paperwork, including service plans, updates, and reviews charts; Enters necessary data/information in appropriate files/systems. CC will attend community events and trainings related to the delivery of specialized EBPs for the target population.