Description

　　Contacts patients post discharge per QIP-NJ contractual requirements.• Communicates with patient Care Team members (physicians, behavioral health team and/or other health care providers) to provide patient with integrative care.• Carries out tasks to execute the medical and support service plans including but not limited to guiding patients to appointments and accompanying them when necessary.• Acts as the primary liaison with medical providers to ensure patient adherence to care.• Tracks patient attendance for medical appointments, initiates outreach as well as adhering to missed appointment procedures. • Coordinates treatment plan adherence.• Coordinates deliverables per HORIZON ISC program.• Monitors internal data dashboard to coordinate patient care.• Identifies community resources to address patients' social determinants of health. • Provides referrals to community resources as needed and follows up to ensure referral completion.• Maintains program database of community partners and referrals.• Maintains documentation of all patient encounters and completes reporting requirements according to organizational and contractual requirements. • Maintains strict confidentiality in accordance with state and agency policies.• Attends and represents the organization at professional conferences, in-service training, and meetings at the request of or with the approval of supervisor.• Flexibility with covering weekend/evening shifts.• Other duties as assigned.

　　Position Qualifications• Excellent communication and interpersonal skills• Experience working with behavioral health and/or substance use population.• Experience working in a medical or social services environment preferred• Strong attention to detail• Proficient with computer databases• Analytical problem-solving skills• Ability to manage time, prioritize, and meet deadlines• Ability to work independently and as a team member• Good attitude, professionalism, promote team attitude• Proficiency in Spanish preferred

　　Education • Bachelors Degree in behavioral health field required• Masters Degree in behavioral health field preferred• Professional Licensure preferred

　　Qualifications

　　Education

　　Required

　　Bachelors or better