Care Coordinator

Job Summary

The Care Coordinator is responsible for implementing an Evidence-Based Curriculum for parents who are pregnant or parenting a child 0-5 years of age, range depends on program requirements. The Care Coordinator will provide knowledge to parents during home visits, or Zoom/Phone calls on early childhood development, parenting education, and community resources, depending on program requirements. They will also conduct family-centered assessments and goal planning with the families, connect families to outside resources and referrals, and provide coordination and advocacy for services needed to assist families in working towards their goals.

Essential Functions

• Ensure project objectives and deliverables are met and comply with GPTLHB policies and procedures.
• Manages a caseload of clients and their families.
• Conduct weekly, monthly, and bi-monthly home/Zoom/phone visits to the client's home and/or other locations as required per program.
• Conduct family-centered assessments and service planning with the families, connect families to outside resources and referrals, and provide coordination and advocacy for services needed to assist families in working towards their goals, or conduct assessments regarding maternal mental and social wellbeing, per program requirements.
• Ensure collection of program data.
• Report to the Program Manager and/or Director of Maternal and Child Health on a regular basis regarding overall program performance and progress.
• Attend and assist in all required classes, meetings, in-service training and required community events.
• Maintain a positive working relationship with collaborative partners and others within the community.
• Ensure program/participant confidentiality. Must be able to network with all 18 service areas' clinics to ensure care coordination.
• Create, promote, and disseminate information to community members and organizations regarding the Tribal Home Visiting program.
• Recruit and enroll expecting moms, mothers, fathers, and/or caregivers of children aged 0- 18 months or 0-5, depending on program requirements. Initiate contact with referred families and actively work to engage families in the program.
• Deliver evidence-based curriculum lessons at enrolled participant’s home visits.
• Assist clients in setting family goals based on their individual needs assessments and identifying steps to achieve their goals; monitor progress.
• Provide outreach services to engage and connect clients with community agencies that will help meet their needs and goals.
• Maintain case records following agency and program policies, procedures, and requirements.
• Collect data and enter data into a database for the program’s information.
• Track client information and provide proper follow-up about referrals and appointments.
• Serve as an advocate for clients. Consistently demonstrate the ability to link clients/families with community resources. Stay informed of relevant community resources to make appropriate referrals.
• Attend and participate in weekly individual reflective and administrative supervision with the Program Manager and the Infant Early Childhood Mental Health Consultant
• Assist families with enrollment and follow-up of public benefits (SNAP and TANF).
• Attend and participate in all scheduled conferences, in-service training, and program meetings.
• Participate in Continuous Quality Improvement activities.
• Perform all other duties as assigned.
  
  

Requirements

• Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices in their work.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
• Valid driver’s license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.
  
  

Minimum Requirements

• Completion of a formal training program or an associate’s degree and one (1) year of relevant experience; or a high school diploma or GED and three (3) years of relevant experience.
• Individuals must have applicable education or experience applying a body of standardized rules, procedures, or operations to perform the full range of standard clerical assignments and resolve recurring problems or to operate and adjust varied equipment for purposes such as performing numerous standardized tests or operations.
  
  

The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.