Care Coordinator - Substance Use Disorder

Job Description

Job Description

39 Paid Days Off Each Year

The Substance Use Disorder Care Coordinator works as part of the medication-assisted treatment (MAT) team. This role is responsible for coordinating and supporting substance use disorder treatment within the clinic and for coordinating referrals to clinically indicated services outside the clinic. The Care Coordinator focuses on engaging patients in their own care through consistent assessment, measurement of progress, outreach, education, group work and referral management efforts. Patient engagement occurs both in person as well as telephonically. The position is best suited for energetic, empathetic, and organized individuals, who thrive in a team-based environment.

Duties and Responsibilities

• Provide proactive outreach and encourage MAT patients to become actively engaged in their own health through calm, compassionate communication and by utilizing techniques such as motivational interviewing and behavioral activation.
• Support and closely coordinate substance use disorder treatment care with the MAT PCP and, when appropriate, other behavioral health providers.
• Track patient follow-up and clinical outcomes. Document patient encounters and use the worklist to identify and re-engage patients who are not participating as expected in their treatment.
• Facilitate recovery plan changes for patients who are not improving as expected in consultation with the PCP and substance use disorder treatment provider. These may include changes in medications, psychosocial treatments, or appropriate referrals for additional services.
• Participate in daily huddle before clinic start time and be able to discuss each patient’s progress.
• Facilitate referrals for clinically indicated services outside the primary care clinic (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment, etc.).
• Complete relapse prevention plan with patients who are in remission.
• Attend ongoing training and learning related to job position and duties.
• Work with SUD Disorder Therapist and PCP in a collaborative manner to ensure that all patients in MAT program receive the supportive services that they need to achieve their treatment goals.
• Work with providers in other care settings (hospitals, emergency rooms, treatment centers) to improve communication during transitions of care.
• Participate in marketing MAT service when census is low in the program.
• Help MAT patients access social services that will help them address the social determinants of their health status.
• Work with QI team to improve outcomes on HEDIS measures related to population health through calling back patients for routine care and participating in huddles.

Required Knowledge, Experience, or Licensure / Registration

Benefits

Salary

All wages are based on relevant years of experience. The minimum rate is the wage that a candidate with no prior experience will earn.

COVID vaccinations are a requirement for PrimeCare Community Health. Proof of full vaccination is required prior to the start date of employment.

PrimeCare Health is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants . T herefore, PrimeCare does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age, religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status.