Children Case Mgmt/Health Home Coordinator

The Children’s Case Manager/Health Home Coordinator is responsible for providing both care coordination and case management to child/client (and family members, as appropriate) with a focus on person-centered plans of care. The Health Home Coordinator facilitates access to appropriate resources and develops treatment plans specific to the child’s needs. Care coordination is provided under the guidelines of the Behavioral Health Home model and regulations and case management is provided under Section 13 guidelines and regulations.

Essential Responsibilities

• Conduct outreach and engagement with child and family.
• Identify specific resources cited in the plan of care.
• Facilitate referrals for child as appropriate.
• Advocate for child as necessary for access to needed services and supports.
• Coordinate care and services with other providers and supports.
• In collaboration with Nurse Care Manager, follow up after child hospitalization, use of crisis services, or out of home placement.
• Provide information, consultation, and problem solving supports to the child and/or family, as appropriate.
• Assist child and family with system navigation, providing advocacy and/or training in self-advocacy techniques.
• Observe, document, and evaluate individual plans and behavior management programs being implemented.
• Meet with each child and child’s Team at least twice monthly.
• Have contact with each child’s school/vocational program representative monthly.
• Meet with families, guardians, caseworkers, as needed.
• Develop and implement an objective data-keeping procedure for each child.
• Develop, implement, monitor and assess programs for each child as set forth by the child’s Treatment Team.
• Review records on each child’s progress, and complete a weekly progress report and contact summaries to be filed in the child’s Individual Record.
• Modify objectives and methodology in individual plans and/or behavior management programs.
• Convene and facilitate the child’s Individual Service Plan Meetings (annual, quarterly, special circumstance, pre and post placement) in a timely manner for review and the development of an updated Individual Service Plan.
• Make program recommendations to the child’s Treatment Team based on assessment of the child’s progress on the Individual Service Plan.
  
  

Qualifications

• Valid State of Maine driver license, reliable transportation with proof of registration and insurance, and willingness to use own transportation for work.
• Minimum of a four-year degree in a human services field or a four-year degree in a non-human services field and one year of experience working with child and families.