Recovery Support Coordinator

INITIAL CONTACT AND PLAN DEVELOPMENT 1. Make contact with a referred client within 24 hours of notification by the Central Intake Unit (CIU) and immediately if the client has emergent needs 2. Make every reasonable effort to locate clients who have been referred by Central Intake for Recovery Support Coordination, but who do not keep their initial or subsequent appointments with the Recovery Support Coordinator or other identified provider 3. Develop a preliminary Single Coordinated Care Plan (SCCP) with the client, based on comprehensive screening conducted by the BHD central intake unit (CIU), to address the most immediate needs 4. Assist the client to develop a Recover Support Team, to develop and achieve his/her goals, within two weeks of enrollment consisting of both formal and informal/natural supports. 5. As applicable, collaborate with the parole agent and other providers/stakeholders to establish and implement a transition SCCP plan, prior to the client's release to the community and attend pre-release case planning meetings to discuss how to develop and implement a transition plan; i.e. by assuring that providers have been identified for each service and that initial appointments have been made CONTINUING CLIENT SUPPORT 6. Provide case management services as required, including, but not limited to: coordinate medical appointments and medical inquiries, coordinate social services (DSS, SSA, foster care, payee), coordinate independent housing search, coordinate legal advocacy (probation/parole officer, attorney, courts), coordinate benefits, attend appointments and court hearings with clients as necessary and troubleshoot and intervene, as appropriate, to make sure clients get to their treatment and other appointments 7. Provide or arrange for public, agency, or other transportation, as needed, to enable clients to attend recovery-related appointments, meetings, court hearings, etc. 8. Provide 24-hour, 7-day-a-week crisis access to assigned clients 9. Provide recovery support coordination services to each client throughout the duration of enrolment in BHD AODA Services, so long as said level of care is indicated 10. Refer individuals with less intensive needs to Case Management or Recovery Check-Up services 11. Have contact with client at least weekly, and conduct recovery team meetings monthly 12. Submit the preliminary and subsequent versions of the SCCP to BHD as part of the Service Authorization Request process for continued care and/or additional services 13. Assist the client to choose services consistent with the SCCP and providers of those services in a manner that ensures informed choices 14. Assist the client in accessing recovery support and treatment services MONITORING, REPORTING AND COMPLIANCE 15. Routinely update client contact information and/or the “Client Locator Form” 16. Monitor and update the SCCP, as needed, to assure adherence to the SCCP. Facilitate coordination to address problems and barriers that arise. 17. Review the SCCP a minimum of every 30 days and amend as the client's needs change or emerge 18. Monitor to assure that service authorizations are current. Request extensions of and additional service authorizations from BHD as indicated by up-to-date patient placement criteria (provided by the clinical treatment provider) and the SCCP 19. Monitor the provision of services by agencies as called for in the SCCP 20. Document in the client record, according to BHD protocol, all services provided 21. Complete the required outcome data collection instruments for each client at intake when needed (i.e. for particular sub-groups for which the CIU does not perform this function), again at 6 months post-intake if the client is still in service, and within 2 weeks of discharge from all clinical services. 22. Assure compliance with program completion measurement protocols for each client 23. Administer a client satisfaction instrument according to a protocol to be designed by BHD 24. Develop, with the help of the Recovery Support team, a plan that identifies sources (in addition to BHD) to pay for services, and document the plan in the SCCP and negotiate the allocation of funding among the various system representatives; while maximizing the use of low/no-cost community support/resources to the extent possible and appropriate. GENERAL 25. Attend all trainings and meetings as mandated by BHD and/or as directed 26. Other duties as assigned related to the overall purpose and needs of the program. NE