ABOUT THE ORGANIZATION:Established in 1970, Boley Centers, Inc., is a private, non-profit organization serving individuals with mental disabilities, individuals and families who are homeless, Veterans and youth in Pinellas County.BENEFITS:
- 10 paid holidays per year
- Paid Time Off
- Medical/Dental/Vision/Life Insurance
- Tuition reimbursement
- Continuing education, reimbursement for professional certifications, licensure and qualified supervision
JOB SUMMARY:The Care Coordinator plays a vital role in supporting Boley Centers' mission to provide comprehensive and compassionate care to individuals with serious mental illness, especially those who are at risk of hospitalization or loss of housing. Working within our Supported Housing and Residential Services department, the Care Coordinator will manage a caseload of clients, assisting them in maintaining stable housing and accessing essential resources to support their overall well-being. This role involves developing individualized care plans, coordinating with healthcare providers, and connecting clients to mental health and community resources to improve their stability and quality of life.EDUCATION AND EXPERIENCE:Bachelor's degree in Human Services, Social Work, Psychology, or a related field (required). Education must be from an accredited school, college, or university. Minimum of 2 years of experience working in a related field, such as mental health, social work, or housing services.PRIMARY JOB FUNCTIONS:Identify High Utilization individuals for care coordination needs: Includes individuals with a serious mental illness (SMI), substance use disorder (SUD), serious emotional disturbance, or co-occurring disorders who demonstrate high utilization of acute care services, including crisis stabilization, inpatient, Statewide Inpatient Psychiatric Program services (or equivalent out of state treatment), and inpatient detoxification services that experience:Three (3) or more acute care admissions or evaluations at an acute care facility within 180 days, orAcute care admissions that last 16 days or longer, orAre awaiting placement in a state mental health treatment facility (SMHTF) or awaiting discharge from a SMHTF back to the community.Client Engagement and Assessment:Engage clients in person and by phone to build a supportive, trusting relationship.Conduct thorough assessments to understand each client's needs, strengths, and goals.Develop and implement individualized care plans that address mental health, housing stability, and other essential needs.Care Coordination and Resource Linkage:Coordinate services with healthcare providers, social service agencies, and other community resources to ensure clients have comprehensive support.Provide referrals to appropriate services for mental health, substance abuse, medical care, financial assistance, and vocational support.Assess the individual for eligibility of Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), Veteran's Administration (VA) benefits, housing benefits, and public benefits, and assist them in obtaining eligible benefits. When applying for SSI or SSDI benefits, providers must use the SSI/SSDI Outreach, Access, and Recovery (SOAR) application process. Free training is available at Assist clients with activities of daily living (ADLs), as needed, to support housing retention.Care Coordination serves to assist individuals who are not effectively connected with the services and supports they need to transition successfully from higher levels of care to effective community-based care.Effective transitions and warm hand-offs - current providers directly introduce the individual to the care coordinator. The warm hand-off is both to establish an initial face-to-face contact between the individual and the care coordinator and to confer the trust and rapport the individual has developed with the provider to the care coordinator.Culturally humble and linguistically competent - the Care Coordination process demonstrates respect for and builds on the values, preferences, beliefs, culture, and identity of the individual served, and their community.This includes services and supports that affect an individual's overall well-being, such as primary physical health care, housing, and social connectedness.Crisis Intervention:Provide frequent contact for the first 30 days of services, ranging from daily to a minimum of three times per week.Care coordinators should consider the individual's safety needs, level of independence, and their wishes when establishing the optimal contact schedule. This includes telephone contact or face-to-face contact (which may be conducted electronically). Leaving voicemail is not considered contact. If the individual served is not responding to attempted contacts, the provider must document this in the clinical record and make active attempts to locate and engage the individual.Provide 24/7 on-call availability. Monitor client progress and assess for any potential crises or risks, intervening when needed to prevent hospitalization or loss of housing.Support clients in crisis situations, following established protocols to maintain client safety and stability.Documentation and Compliance:Maintain accurate, timely, and confidential client records in accordance with Boley Centers' policies and funder requirements.Ensure documentation meets compliance standards and supports program objectives.Utilize at least 50% of allocated funds in OCAs MH0CN and MS0CN to serve the following populations. Adults with a serious mental illness (SMI), substance use disorder (SUD), or co-occurring disorders who demonstrate high utilization of acute care services, including crisis stabilization, inpatient, and inpatient detoxification services. Adults with SMI, SUD, or co-occurring disorders who are at risk of re-entry into crisis stabilization, inpatient, and inpatient detoxification services.Adults with a SMI awaiting placement in a state mental health treatment facility (SMHTF) or awaiting discharge from a SMHTF back to the community.The following populations may receive Care Coordination from the remaining balance of OCAs MS0CN and MH0CN allocated funds.Individuals with serious emotional disturbance (SED), SMI, SUD, or co-occurring disorders who are involved with the criminal justice system, including: a history of multiple arrests, involuntary placements, or violations of parole leading to institutionalization or incarceration. B. Caretakers and parents at risk for involvement with child welfare. C. Individuals identified by the Department, Managing Entities, or Network Service Providers as potentially high risk due to concerns that warrant Care Coordination.Advocacy and Education:Advocate for clients' needs within the community and with other service providers.Educate clients and families on managing mental health symptoms, navigating housing processes, and utilizing available resources.Will comply with Compliance Plan and standards of conduct and report any non-compliance to the appropriate official.Will attend all required trainings, including participating in ongoing continuing education and complete other projects/duties as assigned.SKILLS AND ABILITIES:Strong knowledge of mental health conditions, housing resources, and community support services. Ability to develop rapport with individuals facing significant mental health challenges. Excellent written and verbal communication/customer service skills. Proficiency in basic computer applications and case management software. Reliable transportation and ability to travel locally, as required.PERFORMANCE STANDARDS:Must comply with all work-related rules and standards including, but not limited to attendance. Must not present a direct threat to the safety or health of self or others.WORKING CONDITIONS:This position involves community-based work in various settings, including clients' residences, hospitals, shelters, and Boley Centers' offices. The Care Coordinator must be comfortable working independently and with a diverse population. This role may require flexible hours to meet client needs.PHYSICAL REQUIREMENTS:Exerting up to 50 pounds of forces occasionally and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. Physical activities including, but not necessarily limited to climbing, stooping, kneeling, crouching, reaching, sitting, standing, walking, feeling, talking, seeing, hearing, driving auto and van at varying frequency and intensity may be required to satisfactorily accomplish one or more of the essential duties.MATERIALS AND SAFETY EQUIPMENT:May include, but may not necessarily be limited to standard office equipment/ telephone/materials; automobile/van.May include but not necessarily limited to use of seat belts, protective gloves/mitts/apron, weight (lifting) belt. Special or unusual circumstances may require use of emergency safety equipment including but not limited to fire extinguisher and first aid equipment.SPECIAL REQUIREMENTS:Valid Florida driver's license, own transportation vehicle and vehicle insurance required.Must pass a level II background check and drug screen. Reasonable accommodations will be made for otherwise qualified individuals with a disability. Veterans encouraged to apply. Boley Centers is a drug-free workplace that adheres to federal regulations as it pertains to marijuana use.EOE/ADA/VETERANS/DFWP
