Coordinate and provide services and resources to individuals/families necessary to promote rehabilitation, recovery, and resiliency. Identify and address the strengths, which will aid the individual or family in the recovery and resiliency process, as well as the barriers that could impede the development of skills needed for independent functioning in the community. Support the individual and the family in crisis situations; provide personalized interventions to develop, facilitate, or enhance an individualâs ability to make informed and independent decisions. The patient care assignment may include children who are at risk of/or experiencing serious emotional, neurobiological, and/or behavioral disorders; adults with severe mental illness (SMI), individuals with chronic substance abuse, and/or individuals with co-occurring disorders. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult, and geriatric age groups.
Related Education and Experience may be substituted for one another on a year for year basis.
PCMH/PCSP - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
NAVIGATION/ PATIENT ADVOCACY - Work to eliminate barriers to access to culturally competent medical services for all patients. Assist patients to access community resources, and financial assistance programs and services that are needed
COLLABORATION - Collaborate with medical providers, multidisciplinary team members and community resource providers to assist patient to meet above described treatment goals
LIFE SKILLS - Facilitate and encourage the development of skills in the following areas: activities of daily living, interpersonal coping, socialization, & community functioning. Based on the needs of the individual, this function could include facilitating adaptation to the home, school, work, recreational, and social environments; pro-active self-care, nutrition, & money management
DEVELOPMENT - Plan for professional growth related to professional goals based on self-assessment, evaluation and feedback; assume responsibility for acquiring knowledge and experiences to meet goals
WELLNESS SELF-MANAGEMENT - Offer information and resources to provide patient information on their specific mental âconditionâ; serve as a mentor to promote recovery and resiliency and instill hope; teach symptom monitoring, symptom management, and relapse prevention skills
WELLNESS SELF-MANAGEMENT - Provide information about illnesses; assist individual with knowledge of their medication, side effects, discuss medication concerns with the provider; facilitate self-motivational skills for medication regimen, including consequences to independent living
SERVICE PLANS - Assist in the development and coordination of the individualâs service plan based on his/her identified strengths and goals. The plan will include a recovery/resiliency management plan, crisis management plan and if requested, advanced directives concerning the individualâs behavioral healthcare
RESOURCE COORDINATION - Assist the client in obtaining access to and coordination of necessary rehabilitative, medical and other services to include assistance in obtaining financial and medical benefits/entitlements; assist in obtaining and maintaining safe affordable and stable housing, and provision of support and mentoring to behavioral health consumers involved in the Judicial System
SUPPORT SERVICES - Encourage the development and eventual succession of natural supports in the workplace, school, family, and community environments
ASSESSMENT - Work with the individual/family to identify personal strengths, needs and barriers to attaining self-identified goals; conduct ongoing assessments to determine if the services accessed are meeting or have adequately met the individualâs needs
CRISIS INTERVENTION - Assess, support and intervene in crisis situations including the facilitation of the development and use of individual crisis management plans that recognize the early signs of crisis/relapse and use natural supports. Identify & encourage use of alternatives to hospital emergency departments and inpatient hospital services
TRACKING - Coordinate and monitor use of services, including comprehensive tracking of client activities in relation to care plan such as attendance to all scheduled appointments, reviewing documentation of other in-house providers, and maintaining contact with external providers. Conduct post discharge follow-up contact as appropriate
DOCUMENTATION - Document all client encounters and those made on behalf of clients; complete and submit billing documentation as appropriate; maintain current and comprehensive client files. Files may contain documents held for safe keeping on behalf of a client
STATISTICS - Maintain and report applicable statistics regarding programs and client services
DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
Bachelor's Degree in related discipline
1 year directly related experience
CPR Certification for Healthcare/BLS Providers or for Professional Rescuers or must obtain within 30 calendar days of date of position
Experience Requirements - Preferred:
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Physical Demands Requirements:
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.