Integrated Care Coordinator

Work for an employer who loves you back!

Cornerstone Care, a Federally Qualified Health Center (FQHC), with locations throughout Southwestern Pa., is seeking n Integrated Care Coordinator  to join our team.

Make a difference as we seek those who want to assist us in fulfilling our mission: "To improve the health of our patients and the residents of our community, with special concern for the underserved."

Cornerstone Care has a long history of serving patients in our region and with over 24 million dollars in annual revenues. You can join a dynamic team of professionals where your contributions and voice make a difference.

We are the best family care center across Southwestern PA and Northern WV for affordable healthcare.

Cornerstone Care is seeking an Integrated Care Coordinator for our Mt. Morris location. 

OSITION QUALIFICATIONS: Bachelors degree in Psychology or Social Work;  Behavioral Health and/or Medical Clinical Experience.

KNOWLEDGE/EXPERIENCE/SKILLS: Must possess knowledge or experience in behavioral health as well as

basic medical knowledge. Previous outpatient clinic work experience preferred but not required.

DUTIES AND RESPONSIBILITIES:

A. Patient Care

• Assists in the detection of at risk patients who could potentially require further Mental Health and Substance Abuse screening during daily primary care team huddles
• Performs advanced screening of primary care/ psychiatry / counseling patients for various Mental Health and Substance Abuse Disorders
• Provides a range of services including screening for social determinants of health, substance abuse, connecting patients with a need to the appropriate services for them, assessing barriers to completing treatment plans; And/or common conditions, assessments and interventions related to chronic disease management.
• Performs brief behavioral and cognitive interventions and conducts motivational interviewing to develop behavioral strategies aimed at symptom reduction
• Provides psychoeducation and/or medical education materials for patients and their support systems
• Triages patients with severe or high-risk behavioral health or substance abuse issues and refers such patients to mental health and substance abuse specialists as appropriate
• Facilitates and oversees referrals to outpatient and inpatient treatment programs and supports a smooth transition into treatment
• Performs brief, limited follow-up visits for selected patients and contacts patients post hospitalization when appropriate
• Assists in preventing relapse or morbidity in conditions that tend to recur over time
• Assists patients with medication adherence and disease self-management techniques as needed
• Provides consultation to Primary Care or Behavioral Health Providers both onsite and by phone to enhance understanding of the patient and provide decision support for treatment planning and symptom monitoring
• Maintains a visible presence in the Community Health Center and participates in clinical staff meetings and Quality Improvement activities as required

B. Training:

• Educates Primary Care Team in recognizing and treating Mental Health and Substance Abuse disorders using basic principles of brief behavioral and cognitive interventions
• Assists in training the Medical Assistants and Primary Care Pr