Clinical Care Coordinator

The Clinical Care Coordinator (CCC)/BH Clinician works in conjunction with other members of the SAMHSA SUP team to provide individual and group clinical SUD/COD services, care coordination, linkage to psychiatry, MAT, and higher levels of treatment; lead weekly case conferencing; provide support to program staff regarding clinical issues. The CCC also works in conjunction with members of the medical and behavioral health team to manage psychosocial aspects of chronic and acute diseases, apply behavioral principles to address lifestyle and health risk issues and provide consultation in the treatment of mental disorders and psychosocial issues.

This position is grant funded. The grant is scheduled to expire on September 29, 2028 (9/29/28). The grant may or may not be funded again after that date. Your employment beyond the grant expiration date is not guaranteed. Should the grant not be funded, you are eligible and encouraged to apply for another position within the agency.

BENEFITS

• 13 Paid Holidays + PTO
• 403 (B) retirement match
• Life Insurance, EAP
• Tuition Reimbursement
• SEIU Union
• Flexible Spending Account
• Continued workforce development & training
• Succession plans & growth within

QUALIFICATIONS

Education and Experience

• Master’s Degree in Social Work or Marriage and Family Therapy.
• Licensed in Clinical Social Work, Marriage and Family Specialist or registered Associate Social Worker or Associate Marriage and Family Specialist.
• Minimum of Two years’ experience as a social worker working in case management for clients with history of substance use, comfortable establishing rapport with PEH/justice involved individuals.
• Proficiency in the identification and treatment of mental disorders.
• Ability to provide individual and group clinical SUD COD services, care coordination, linkage to psychiatry, MAT, and higher levels of treatment.
• Knowledge of evidence-based behavioral assessments and interventions relevant to medical conditions, e.g., disease management, treatment adherence; and lifestyle change.
• Ability to make quick and accurate clinical assessments.
• Care-management skills and knowledge of local resources for outside referrals.
• Skilled in targeted, brief psychotherapy and in running group sessions.
• Proficiency in the identification and treatment of mental disorders.
• Ability to document services in a way that is useful both to the primary care provider and to management for quality improvement services.
• Consultation liaison skills.
• Experience working in underserved communities, including undocumented workers, unaccompanied minors, LGBT populations, communities of color, youth/adolescents, and those experiencing homelessness, substance abuse, and/or mental illness; and
• Bilingual English/Spanish required (read, write, speak)

ESSENTIAL DUTIES AND RESPONSIBILITIES

Performs a combination, but not necessarily all, of the following duties:

• Promote and integrate behavioral health services.
• Maintain protocols and procedures for integrated behavioral health activities across the St. John’s net-work.
• Assist the primary care provider in recognizing, treating and managing mental health and psychosocial issues and act as a contributing member to the primary care team and behavioral health team.
• Conduct client intakes, focusing on diagnostic and functional evaluations, then make recommendations to the primary care provider concerning the clients’ treatment goals and plan.
• Lead weekly case conferencing.
• Provide support to program staff regarding clinical issues.
• Provide consultation to the primary care providers to enhance patient care.
• Provide brief, focused intervention for clients who are in need of mental health services.
• Conduct groups as needed.
• Assist in the detection of “at risk” clients and in the development of plans to prevent worsening of their condition.
• Treat patients referred to them for mental health and/or recovery services.
• Monitor and coordinate the delivery of health services for clients as related to behavioral health care, including linking with other treatment providers not only within the primary care setting but, with the clients’ permission, outside providers as well.
• Document the clients’ progress and diagnostic information in the treatment chart.
• Keep the primary care providers fully informed of the client’s needs and progress and work with providers to formulate treatment plans.
• Provide consultation to clinic management and other team members about behavioral services and suggested areas of outcome and program evaluation.
• Participate in case conferences with appropriate medical and ancillary team members.
• Support Quality Assurance activities related to behavioral health care.
• Provide program reports.
• Assist the clients in complying with any medical treatment initiated by the primary care provider, such as offering strategies to cope with medication side effects.
• Function as a member of a multi-interdisciplinary team.
• Attend meetings, trainings, and other work-related events as needed.
• As an exempt position, evening and/or weekend hours may be required to ensure the fulfillment of all duties and responsibilities; and

Other duties may be assigned or may be modified as business needs dictate.