Substance Use Care Coordinator-MAT Lead

Overview

General Description: The Substance Use Care Coordinator is a specialist whose primary responsibility is to provide care coordination services for individuals initially presenting at a local community hospital and the Space Coast Health Center clinic. The position integrates directly with existing host hospital programs and functions as an extension of the mission of the host hospital and SCHC. This position serves as the lead in our medication assisted treatment program, which features naltrexone/Vivitrol and buprenorphine (Subutex/Suboxone).

Persons served by this program are the primary population served by this position.

Department: Space Coast Health Center

Schedule/Status: Days;
Full Time

Standard Hours/Week: 40

• Members of the team are required to provide services to all persons enrolled, regardless of assigned caseloads. The Care Coordinator will be considered the expert on matters related to the persons substance use referrals, case details, and treatment planning. As such, this person is required to:
• Respond to referrals from the hospital and community rapidly
• Develop a plan of care within the first 30 days in the program
• Ensure that Plan goals and referrals are documented in the care plan
• Coordinate and ensure that services are provided to all people served
• Ensure that all assessments and services are properly documented in the person s clinical chart
• Serve as the primary case manager for persons served by the MAT program
• Ensure the integrity of the clinical chart by overseeing timely and thorough completion of assessments, developing the person s master service plan with the person served and the individual service team, and ensuring timely completion of all assessment updates, treatment plan addenda and treatment plan reviews
• Ensure that all changes made to a person s treatment plans are immediately reflected in the chart
• Monitor the clinical charts of assigned persons for completeness and quality of documentation, according to the program s expectations
• Establish a primary therapeutic alliance with assigned persons served, family members, and other support network members
• Document summaries of persons served progress at monthly intervals and whenever there is a significant change in status or as frequently as needed
• Advocate for persons served rights and preferences
• Provide services under the ideals of a Recovery Oriented System of Care
• Participate in evening, weekend and primary on-call rotation as needed
• Attend weekly treatment plan review meetings when on duty
• Provide Care Coordination
• Provide supportive services—actively listening to the persons served point of view and providing practical counseling to enhance motivation to persist with efforts to control negative emotions, cope with symptoms, solve problems, plan, and avoid and resolve interpersonal conflict
• Provide education about MAT options, risks/benefits, and other aspects of this modality
• Provide psycho-education on an individual and group basis to help persons served identify, adapt to, and control symptoms
• Act as primary case manager for delivery of specialized interventions in which s/he has been credentialed
• Coordinate with treatment providers outside the team when necessary to meet the clinical needs of persons served
• Provide ongoing assessment, problem solving, side-by-side modeling and coaching, skill training (e.g., explains, demonstrates, prompts, encourages, rewards), and environmental adaptations to help persons served improve their capacity for independent living
• Provide access and linkage with local agencies and providers for all types of healthcare needs
• Provide linkages to area resources which are identified through formal assessment, participant interview, and external assessments
• Coordinate Care through the treatment team for each individual participant, considering their unique skills and preferences
• Serve as a professional representative of Space Coast Health Centers and its programs in the community
• Assist SCHC staff as needed with mutual participants within the Coordinator’s scope of expertise

• Bachelor s Degree from an accredited university or college with a major in psychology, social work, counseling or related human services field (i.e. one in which major course work includes the study of human behavior and development, counseling and interviewing techniques, and individual, group or family therapy). At least two years of experience in providing services similar to community-based treatment is required.
  
  Experience serving persons with substance use disorders is preferred.

• At least two years of experience in providing services similar to community-based treatment is required. Experience serving persons with substance use disorders is preferred.

• Valid driver s license required.