Job Details

ABOUT THE OPPORUNITY/WORK

The Intensive Care Coordinator in the Specialized Services for Youth department provides coordination using the Intensive Care Coordination with Wraparound (ICCW) model and assumes the responsibilities common to all direct service and administrative positions as described in the Agency Manual. The Intensive Care Coordinator will develop and use the various modalities of service offered by the agency.   This position reports to the ICCW Supervisor in the Specialized Services for Youth department.

• Provides Intensive Care Coordination utilizing Wraparound fidelity to identify strengths, assess for needs, and develop plans with a caseload of youth and their families. These children and adolescents qualify for the highest level of care in the community per Community Mental Health guidelines and meet the eligibility for a Serious Emotional Disorder (SED).
• Provides services primarily in the home of the family, community or occasionally via tele-health, depending on the youth and family’s needs and as appropriate to the stage of ICCW, per the Medicaid provider manual requirements.
• Expect to work at minimum two evenings a week to accommodate school and work schedules of assigned families.
• Provide appropriate services, ICCW and/or Targeted Case Management (TCM), in accordance with Medicaid provider manual guidelines. Typical caseload size is 10-12 ICCW cases, with numbers changing depending on caseload mix (ICCW and TCM cases) and may be subject to change based on program and individual needs.
• Obtain, analyze and evaluate case data looking for individualized strengths and needs; develop an understanding of unique family situations and develop collaborative goals.
• Facilitate the team planning process and alter the plan as new strategies emerge.
• Work with the whole family; to have a good understanding of the family dynamics and how this may impact the identified youth.
• Empower individuals and families to advocate on their own behalf and utilize their natural support networks. 
• Provide referrals or assistance within the social determinants of health, including physical health, cultural, employment, educational, social or financial needs.
• Maintain records in accordance with the Agency, accreditation, Oakland Community Health Network (OCHN), and Michigan Department of Health and Human Services (MDHHS) standards and requirements. Maintain all records in the Electronic Medical Record (EMR) within timeframes required by OCHN and MDHHS.
• Coordinate cases with child and family team members including professional supports such as therapists, psychiatric staff, peer specialists, Community Living Supports (CLS)/respite providers, school staff, probation, courts, protective services, OCHN, physicians etc. as well as natural supports such as grandparents, neighbors, friends, etc. to build a well-rounded and comprehensive network of support to assist individuals and families in meeting their goals .
• Participate in required trainings in accordance with the requirements of the agency, state of Michigan, funders, OCHN and the MDHHS Medicaid provider manual.
• Perform the administrative tasks related to assigned caseload and other work assignments as required by the agency by effectively utilizing the various tools provided by the program and/or the electronic healthcare record system.  This includes effective and efficient management of their individual caseload; completing documentation and responsibilities related to their caseload in adherence with OCHN and MDHHS protocols.
• Provide assistance, support and leadership to other staff members through consulting, teaching and other means as appropriate, and to coordinate program activities when assigned to do so.
• Operates as the primary case holder for SED-Waiver individuals, that includes conducting a comprehensive assessment of individuals’ non-treatment needs, developing case management aspects of Individual Plan of Service/Family Plan of Service (IPOS/FPOS), crisis planning, annual assessment, coordinating services on the IPOS/FPOS by linking individual/family with community based-services, coordinating with other service providers and assisting with care coordination  out-of-home placements (ie. in-patient hospitals or Children’s Village) as appropriate.
• Responsible for incorporating principles of diversity, equity and inclusion in work processes and in job functions. Responsible for promoting a feeling of welcoming, belonging, and acceptance to all clients and staff.
• Other duties as assigned.