Assessor Clinical Care Manager
The Opioid Center of Excellence (COE) is a community based care management team. The team coordinates the care for the opioid population between systems creating a patient centered health home. The team creates warm hand offs between systems, coordinates transitions in care, assists with re-establishing life domains, incorporates medication assisted treatment, coordinates with Primary Care Physicians, and creates rapid access to treatment.
The team Assessor Clinical Care Manager is responsible for conducting facility and community based comprehensive biological, psychological, social, level-of-care, and spiritual assessments; assessing and motivating the opioid population to address recovery needs impacted by areas of life domains; making appropriate referrals to community and treatment supports; and coordinates level of care transition needs. In addition, provides resources and education to both persons served and family members of persons served.
Essential Job Responsibilities
- Take the lead role in providing admission, assessment, and level-of-care placements within the COE.
- Create, review, and monitor COE client profiles to ensure they represent the most
up-to- date information.
- Identify from assessments, the care management classification for the person served consisting of needing care management, complex care management, or transitional care management COE interventions.
- Identify COE persons served that have disconnected from recommended clinical care through electronic health record review with a minimum of a weekly review.
- Complete mobile assessments as requested that may be located at emergency rooms, medical offices, and the criminal justice system. Coordinate transportation needs to treatment facilities.
- Ensure warm handoffs with COE team and the Penn Foundation service delivery.
- Complete referrals and follow-up to all behavioral supports identified through assessment process (i.e. a person is COD and homeless complete referral to recovery coaching, a person requires intensive support with vocational rehab complete referral to REACH and ensure connection). If a person is non-COD, work with COE team to address needs (i.e. CRS may be identified to work with individual wanting to go back to school).
- Minimum Master’s Degree, licensed LSW or LPC.
- CAADC eligible or Minimum Bachelor’s Degree.
- A valid PA Driver’s license and good driving record.
- A Pennsylvania Criminal Record Check, a Pennsylvania Child Abuse History Clearance and a FBI Criminal History Background Check.
Current opening for 1 Master’s and 1 Bachelor’s level position.
Penn Foundation is an equal opportunity employer