RAPP Continuity of Care Specialist

Fort Worth, TX, United States

For over 50 years, MHMR has provided community-based services for youth and adults with intellectual and developmental disabilities (IDD), mental health conditions, and substance use disorders, as well as babies and young children with developmental delays. MHMR employees use a person-centered approach to fulfill the mission: We Change Lives! Using innovative approaches, MHMR partners with community organizations to provide services and a hopeful future.

Category: Direct Care - Clinical Therapist/Social Work/Case Worker

Pay is determined by relevant experience, work history, education and internal equities. As part of our Diversity, Equity, and Inclusion practices, MHMR offers the maximum compensation for candidates based on their experience, education and internal equities of the agency. This practice removes biases in compensation and assist hires and/or promotions on pay equity in their appropriate position(s) at MHMR.

I) Job Purpose

The Continuity of Care Specialist (COC Specialist) functions as part of an Interdisciplinary Team (IDT) to provide, psychosocial support, supported employment services, crisis resolution, and housing services to adults who have evidence of psychiatric or co-occurring psychiatric and substance use disorders (COPSD), and who are currently on parole/probation and who need intensive rehabilitative and casework mental health services. The COC Specialist provides a method of comprehensive review and evaluation of both mental health and criminal justice history to determine the least restrictive and clinically beneficial treatment disposition. This individual is required to provide coordination, advocacy, interaction, and cooperation with other departments both external and internal to MHMRTC. The COC Specialist provides assessment, recovery planning, and ongoing treatment when applicable in order to assist individuals with severe and persistent mental illness to gain the skills, resources, and supports necessary to attain their individualized recovery goals. Services may be provided in the clinic or in the community. Providing services in the community entails travel (often in the COC Specialist’s own vehicle) and work throughout Tarrant County, in a variety of neighborhood and home conditions.

II) Essential Functions

A) Complete intakes on all TCOOMMI referrals including jail releases, prison releases, Probation and Parole referrals.

B) Assess TCOOMMI referrals for TCOOMMI services and eligibility including Intensive Case Management (ICM), Transitional Case Management (TCM) and Continuity of Care (COC) services.

C) Link and refer TCOOMMI Patients to community resources and benefits.

D) Monitor TCOOMMI Web App daily for new referrals.

E) Update TCOOMMI Web App with closures, county to county transfers and appointment status.

F) Collaborates with Program Directors/designee at VOA, ABODE, Core Civic Halfway House Probation and Parole Departments to research, plan, and develop systems to improve the service delivery of the Project R.A.P.P. program.

G) Comply with TCOOMMI Program Guidelines and Procedures including Intake, Continuity of Care, Intensive Case Management, Transitional Case Management and Halfway House.

H) Document all contacts and attempts to assist Patient with community resources and TCOOMMI/MHMR Tarrant services in the Electronic Health Record.

I) Complete documentation of services provided daily by 10 am the next business day.

i) Standard:

(a) All documentation must be completed, processed (including corrections), and entered into the agency’s data system no later than within the time frame designated by current division policy.

Utilize Collaborative Documentation when providing services to an individual.

J) Attend and participate in all Recovery Team Meetings

i) Standard:

(a) COC Specialist obtains prior approval from his or her Team Lead or Program Manager for every Recovery Team Meeting not attended.

K) Maintain credentialing as a QMHP.

i) Standard:

(a) No Relias training is 60 days or more overdue at any time.

(b) COC Specialist always maintains clinical supervision/licensure/requirements.

L) Maintain timekeeping and travel records daily, ensuring final records are turned in and approved before the close of each pay period or as requested by supervisor.

i) Standard:

(a) COC Specialist has no more than two missed punches (clock-in or clock-out) in the timekeeping system in any given pay period.

(b) COC Specialist notifies his or her supervisor immediately if a missed punch occurs.

M) Performance standards are performed as applicable with MHMR’s We CARE values “We Connect People in Our Community. We Provide Access to Services. We Link People to Resources. We Empower People.”

N) Perform other job duties or responsibilities as requested or assigned.

III) Knowledge of Laws, Policies/Procedures, Skills, and Abilities

A) Applicable sections of Texas Administrative Code, Texas Department of Criminal Justice TCOOMMI Standards, Requirements, and Procedures, Third Party Payer Requirements, MHMRTC Policies and Procedures, Mental Health Code, Medicaid Procedures, Compliance Plan, MHMRTC Employee Handbook, HIPAA, and applicable Federal standards.

B) COC Specialist demonstrates effective organizational, time management, and communication skills.

C) COC Specialist is self-motivated and self-directed demonstrating the ability to work autonomously.

D) COC Specialist provides excellent customer service both within and outside the agency.

E) COC Specialist demonstrates the ability to engage individuals in services while maintaining appropriate professional boundaries.

F) COC Specialist demonstrates the ability to work in a non-judgmental manner with individuals and coworkers whose belief systems may be based on values different from those of the QMHP.

G) COC Specialist demonstrates the ability to communicate clearly and concisely both orally and in writing.

H) COC Specialist demonstrates the ability to work as a member of a multidisciplinary treatment team.

I) COC Specialist demonstrates the ability to accept direction and make constructive use of professional and clinical supervision.

IV) Internal & External Customer Service

This position requires extensive internal and external contacts with clients, family members, significant others, inter-agency staff, service providers, and practitioners. The COC Specialist accomplishes communication with exceptional written and verbal skills, by answering phone calls and emails within one business day, and by conducting themselves professionally in all interactions. Other contacts may include, but are not limited to: John Peter Smith Hospital, Family Services, Social Security Administration, Department of Assistive and Rehabilitative Services (Department of Regulatory and Protective Services, other area hospitals, local Police Department(s), area United Way Agencies, local housing authority and/or local Transportation Authority.

V) Travel

A) This position requires significant travel within Tarrant County. A company vehicle may be available, or you may be expected to use your personal vehicle. Staff member is responsible for maintaining accurate records and submitting them on time in order to receive compensation allowed per division policy. Staff member is responsible to pay in full any traffic tickets and fines for traffic violations while working. Tickets received by agency due to a staff member’s traffic violation while driving a company vehicle are deducted from staff members paycheck.

Bachelor's Degree in a Health or Human Services Field.

Defined Education

Social, Behavioral or human services include Psychology, social work, nursing, rehabilitation, counseling, sociology, human development, deontology.

Substitutions

May substitute a Bachelor's Degree with at least 30 hours of behavioral health coursework which must be documented within the transcript.

Experiences

1 year

Defined Experience

1-year experience in a Health or Human Services Field.

Required License(s)

i) Valid Texas Driver’s License

ii) Proof of Liability Insurance Coverage

iii) Successful completion of required organizational training

iv) Qualified Mental Health Professional-Community Specialist (QMHP-CS)

Special Courses

None

Testing Requirements

Pre-employment tests including drug and TB Screening, Physical Exam including balance and lift test.

Satori Alternatives to Managing Aggression (SAMA)

Lifting Requirements

None

All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their departments as a key/essential staff level function during critical events or for the purpose of sustaining business continuity.

This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and /or the Division/Director.

Assigned work hours may change as the needs of the agency change.

The functional Title of this position may change as the needs of the agency change.

All work will be complete within the scheduled work hours. All non-exempt (hourly) employee are expected to clock In and out for each work shift, no work done should be done off the clock.

Prior approval from supervisor is required for all Paid Time Off (PTO) and Overtime.

MHMR reserves the tight to change, and to or eliminate a position as it deems appropriate.

Employment is at will, as well as agency needs may change.

Agency dress code is to be followed at all times.

Physical on-site presence, including regular attendance and punctuality is an essential function of this position. Any change or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance.

All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their departments as a key/essential staff level function during critical events or for the purpose of sustaining business continuity.

This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and /or the Division/Director.

Assigned work hours may change as the needs of the agency change.

The functional Title of this position may change as the needs of the agency change.

All work will be complete within the scheduled work hours. All non-exempt (hourly) employee are expected to clock In and out for each work shift, no work done should be done off the clock.

Prior approval from supervisor is required for all Paid Time Off (PTO) and Overtime.

MHMR reserves the tight to change, and to or eliminate a position as it deems appropriate.

Employment is at will, as well as agency needs may change.

Agency dress code is to be followed at all times.

Physical on-site presence, including regular attendance and punctuality is an essential function of this position. Any change or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance.

Our total rewards program offers benefits* to full time employees beginning 1st of the month following hire date including but not limited to:

• Comprehensive healthcare options (Medical, Dental, and Vision)

• Life insurance and additional supplemental accident and hospitalization plans

• 401a match and 457 deferred compensation plans

• Paid vacation and holidays; varied flexible work environment locations

• Student Loan Forgiveness

• Professional development programs and training

Insurance eligibility:

• Full time employees begin 1st of the month following hire date

• Market driven positions (full time or part time) begin immediately after hire date

• Select part time market driven positions are eligible for most insurance plans

• Substitute status jobs are not eligible for benefits

Additional Information

*MHMR of Tarrant County (“MHMR”) and its affiliates and subsidiaries have an internal recruiting department. MHMR may supplement that internal capability from time to time with assistance from temporary staffing agencies, placement services, and professional recruiters herein after referred to collectively as “Recruiters"). Recruiters are hereby specifically directed NOT to contact MHMR employees directly in an attempt to present candidates – MHMR recruiting team or other authorized MHMR personnel must present ALL candidates to hiring managers. For more information please visit our website  www.mhmrtc.org

MHMR is an equal opportunity employer. MHMR prohibits employment discrimination based on race, color, religion, sex, national origin, age, covered veteran status, disability, sexual orientation, trans-gender, gender expression, gender identity or any legally protected characteristic.

U. S. Patents 7,080,057; 7,310,626; 7,558,767; 7,562,059; 7,472,097; 7,606,778; 8,086,558 and 8,046,251.

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