Clinical Care Coordinator-BH LCSW

Full-time Clinical Care Coordinator- Licensed Clinical Social Worker-Behavioral & Mental Healthcare- Norwalk, CT (50 Miles from New York City)

Nuvance Health, formerly known as Western Connecticut Health, has as excellent opportunity for a full-time, experienced Clinical Care Coordinator (LCSW) working in an outpatient setting in Norwalk & Westport, Connecticut. The Clinical Care Coordinator will provide support to the Behavioral and Mental Healthcare department following a Monday-Friday office schedule of 8:30am-5pm with a flexible evening shift once a week. This position will conduct behavioral health consultation to children, adolescents, adults and families with behavioral health needs with the goal of improving psychosocial functioning of our patients as well as performing assessments and formulating discharge/transition plans. We are located in suburban Fairfield County, about 50 miles northeast of New York City. This position will work out of Norwalk and Westport Offices. We offer a highly competitive compensation package including base salary plus a $5,000 sign on bonus. 

Furthermore, Western CT Medical Group Primary Care Offices serve Newtown, Brookfield, Ridgefield, Southbury and Danbury. The Clinical Care Coordinator will work 2 days at Norwalk Primary Care, 2 days at Westport Primary Care, and 1 day at Endocrinology at Norwalk.  

Responsibilities:

1.Care Coordination/Facilitation and Transition Management - coordinates multiple aspects of care to all appropriate patients to ensure the patient overall health goals improve and their psychosocial wellbeing.

2. Assesses patient's clinical readiness for transition in collaboration with the healthcare team and informs the team of the available resources based on the patient's clinical needs. Maintains easy flow of communication regarding patient's development and progress to all involved in care of patient.

3. Participates in the development and improvement of clinical initiatives focused on reducing hospital admissions or trips to the ED, or Re-admissions and ensuring appropriate levels of care. Actively involved in all daily, weekly or monthly provider or staff or supervision rounds/meetings. Knowledge of hospital and community resources and is a resource for the healthcare team.

4. Maintains effective relationships and a positive outlook when interfacing with other departments, multidisciplinary healthcare team as well as patient's/families and community providers.

5. Acts as an intermediary between patients, physicians and community providing advocacy, accurate healthcare information, potential referral services and proper treatment plans. Initiates and coordinates patient care conferences as required and will do home visits as necessary.

6. Social Work Care Coordinators provide clinical social work interventions which include counseling, bereavement, brief goal focused therapy and utilizes different modalities SBIRT, MI, CBT, DBT, mindfulness, etc. and crisis intervention as well as assessment and intervention in cases involving complex family/patient dynamics. Participate in Simulation Lab and promoting SBIRT and MAT in the PC offices.

7. Assist the primary care team in developing care management processes such as the use of guidelines, disease management techniques, case management, and patient education to improve self-management of chronic disease.

8. Utilization Review Care Coordinators reviews all admissions and continued stays for assigned group of patients to determine certification to the assigned level of care utilizing standardized criteria to achieve optimal outcomes and reimbursements. Provides timely clinical information to the commercial insurers. Coordinates direct communication between MD's and insurers to proactively avoid denials. Identifies variances, avoidable days, readmission and LOS issues and works with department leadership and the healthcare team to develop changes in process to improve outcomes. Collaborates with other members of care coordination to communicates changes in level of care as well as other pertinent information required for an optimal transition plan. Provides education to patient/families and the healthcare team.

9. High Risk Care Coordinators coordinate care for a group of patients with a specific diagnosis and/or complex discharge needs across the continuum. Provides assistance and support in collaboration with the healthcare team to ensure that patients are given all available resources to meet their healthcare goals and improve self-management of their health/disease process.

10. Maintains confidentiality on relevant issues and information. Takes accountability for personal performance and goal achievement. Takes initiative to set high standards of honesty, integrity and performance for self and others.

11. Collabor