"Senior Care Coordination Specialist"

Position Summary

Rutgers, The State University of New Jersey, is seeking a Senior Care Coordination Specialist for the department of Medicine at the New Jersey Medical School.

The Senior Care Coordination Specialist will work as the Licensed Social Work/ Licensed Associate Counselor Mental Health Clinician and contribute to the success of the program by managing the daily workflow to achieve high quality care management delivery and positive clinical outcomes, while meeting the administrative and contractual performance targets, documentation standards and billing requirements of the grant program(s). This position will focus on assessment, counseling, and coordinating care of high risk/high acuity patients with untreated mental, emotional or substance abuse or problems. The LSW/LAC MCM is responsible for meeting the HRSA standards for medical case management that include (1) initial assessment of service needs; (2) development of a comprehensive, individualized service plan; (3) coordination of services required to implement the plan; (4) client monitoring to assess the efficacy of the plan; and (5) periodic re-evaluation and adaptation of the plan as necessary over the life of the client, as well as patient specific health education, counseling, monitoring, assessment and deployment of techniques to assure the engagement and retention in care of the identified patients. LSW/LAC MCM activities include individual and group therapy, crisis intervention, conducting clinical assessments, medical case management, client advocacy, referral, prevention, and education.

Among the key duties of this position are the following:

• Assess and works collaboratively with the patients, medical provider, designated family/significant others and community support service providers to address the needs identified in the patient's health and psychosocial risk assessment and implement a plan of care based upon the needs identified.
• Facilitates the development and implementation of a comprehensive, multi-disciplinary plan of care for patients with complex mental health and/or substance abuse and socio-economic problems, in collaboration with the physician and other members of the healthcare team.
• Counsels and educates patients in individual and group sessions to assist them with managing experiences of trauma, illicit substance use, mental and physical illness, poverty, unemployment or abuse.
• Assists in the coordination and monitoring of the unit's buprenorphine program. Follows all guidelines and standards regarding record keeping and documentation.
• Provide co-occurring behavioral health psychotherapeutic interventions to provide psychosocial support with continued adherence to treatment and engagement in ongoing treatment and care or referral to higher level of community outpatient programs such as IOP or Partial Hospitalization.

Minimum Education and Experience

• Master's Degree in Social Work, Counseling or a related field with a license to practice in the State of New Jersey plus two (2) years post Masters experience.
• Patient experience in the area of mental health and/or substance use required.
• At least two (2) years of clinical experience in the care of people with HIV/AIDS.
• Other Skills & Abilities/Qualifications: Minimum one year managed care and/or case management experience required.

Physical Demands and Work Environment

• Physical Demands: Position requires standing to 1/3 of the time, walking to 2/3 of the time, requires sitting 1/2 of the time, talk or hear over 2/3 of the time. There are no special vision requirements.
• Work Environment: Clinical environment. Moderate noise (examples: business office with computers and printers, light traffic).