The Suicide Prevention and Resilience Intensive Outpatient program (SPARC) Care Coordinator is a fully licensed, revenue generating practitioner. The Care Coordinator is responsible for coordinating the delivery of care throughout the continuum of care for SPARC patients. The Care Coordinator is responsible for triaging SPARC internal and external referrals, coordinating scheduling with SPARC clinical therapists, obtaining insurance authorization, and providing families linkage to outpatient care, internal resources or the payer community, prior to SPARC discharge. The Care Coordinator also provides clinical services to SPARC parents by facilitating weekly parent education group and multi-family group therapy as part of the programming in addition to family therapy sessions when appropriate. The Care Coordinator provides the multidisciplinary SPARC team clinical support during patient crises and coordinates transfer to higher level of care when needed.
JOB SPECIFIC RESPONSIBILITIES:
- Identify trends/problems related to delivery of care, delays and potentially avoidable days through consistent data capture. On a concurrent basis, assess the appropriateness and timeliness of the level of care, clinical procedures, quality and clinical issues. Interact with patients and providers to explore the most appropriate setting to meet the patient needs.
- Identify patients in need of post-acute care services. Collaborate with team members to develop a transition plan appropriate to the patient's needs and resources. Serve as consultant and educator to patient and family regarding post acute service recommendations. Convene and conduct interdisciplinary conferences as needed. Collaborate with on-site payer representatives to advocate for patient's acute care and post acute care needs. Serve as liaison to community resources.
- Communicate continually with patients and families, physicians, multidisciplinary team members and payers to facilitate coordination of clinical activities and to enhance the effect of a seamless transition from one level of care to another across the continuum. Communicate with families to ensure understanding of recommendations for follow up care, payer guidelines and to assist in arranging referrals.
- Participate in rounds/outpatient meetings/treatment team meeting. Confirm the patient's treatment plan and intended goals. Monitor the patient's progress toward the desired outcome. Collaborate with providers to establish treatment milestones to prepare patient and family for transition to lower level of care. Facilitate referrals to the appropriate areas to expedite care, treatment and services. Establish lines of communication with ancillary services. Collaborate with providers, patients and families and nurses to identify probable post-acute care needs. Participate in the development, implementation, evaluation and ongoing revision of the plan of care, clinical pathways and initiatives to improve quality, continuity and cost effectiveness.
- Work collaboratively with other departments and services to define and study areas of inefficiency and participate in process improvement projects. Be involved in the development of strategies and plans to maximize the most appropriate use of services in assigned areas.
LICENSES and CERTIFICATIONS:
Masters Level mental health clinician - social work, counseling, psychology, or family therapy
Valid Texas Professional license required (LPC, LCSW, LMFT)
BLS certification must be completed within 60 days of hire and renewed every 2 years if providing individual evaluations and/or group therapy required.
Initial Pediatric Prevention and Management of Aggressive Behaviors (PPMAB) training must be completed within 60 days of hire and renewed annually if providing individual evaluations and/or group therapy required.