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Jackson-Hillsdale Community Mental Health Board

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ICCW Coordinator (Project Management)



General Summary
Under the direction of the Supervisor, Community-Based Services, the ICCW Coordinator provides culturally competent and trauma informed services to all consumers, assists consumers to design and implement strategies for obtaining services and supports that are goal-oriented and individualized. The ICCW Facilitator shall be responsible for administering the Wraparound planning process as trained by the Michigan Department of Health and Human Services (MDHHS) model. The ICCW Coordinator engages families in the Wraparound process, helping them to formulate a strength- based Family Plan, as well as an Individual Plan of Service, detailing their natural supports, needed resources and goals, plans to accomplish them; and assist them in assembling a Child and Family Team to support this plan. The ICCW Coordinator incorporates LifeWays mission, vision, and values into all decision-making processes. Essential Functions
When working with consumers needing services: Wraparound process through the fidelity model
1.Assures that the plan of service identifies what services and supports will be provided, who will provide them, and how the ICCW Coordinator will monitor (i.e., interval of face-to-face contacts) the services and supports identified In the Wraparound planning process.
2.Ability to work with and facilitate families that fall under the severe emotional disturbance waiver population as well as other children who qualify for the service.
3.Demonstrates proficiency in facilitating the Wraparound process, as monitored by supervisor.
4.Oversees implementation of the individual plan of service, including supporting the consumers dreams, goals, and desires for optimizing independence; promoting recovery; and assisting in the development and maintenance of natural supports.
5.Works using a collaborative approach with team members and the wraparound community team to advocate for child/family needs.
6.Assures the participation of the consumer on an ongoing basis in discussions of their plans, goals, and status.
7.Assures coordination with the consumers primary and other health care providers to assure continuity of care.
8.Engages with children and families, assisting them to improve their functioning.
9.Provides the Wraparound process with families at a level that is in compliance with the model and meets contractual expectations including unit thresholds and documentation requirements.

10.Interacts with clients in non-traditional settings and during non-traditional hours.
11.Represents clients served and through interacting with referral sources.
12.Documents services through the use of an Electronic Medical Record and other formats.
13.Represents clients served through interacting with referral sources and other professionals, supporting the child and family.
14.Coordinates and assists the consumer in crisis intervention and discharge planning, including community supports after hospitalization.
15.Facilitates the transition (e.g., from inpatient to community services, school to work, dependent to independent living) process, including arrangements for follow-up services.
16.Identifies the process for after-hours contact.
17.Facilitates services to Individuals and families (up to 12 Individuals and/or according to MDHHS Medicaid Manual) including facilitation and participation in team meetings.
18.Maintains contact with consumer per the plan for where the consumer falls within the Hello, Help, Healing, and Hope phases of Wraparound.
19.Maintains professional relationships with a variety of Individuals including comfort level working in a wide range of settings (family homes, community settings, schools).
20.Participates in Community Team meetings monthly
21.Maintains and process required documentation accurately and within required timeframes.
22.Completes other projects as assigned by management.
23.Ability to provide services with model adherence.
24.Ability to meet expected case documentation requirements.
25.Ability to maintain compliance with agency and contractual training and licensure requirements.
26.Maintains regular and predictable attendance.
27.Performs all other duties as assigned or requested.
NOTE: The lists of essential and additional functions are not exhaustive. They may be supplemented as necessary from time to time. Key Performance Indicators (KPIs)
Documentation is completed by the end of the business day; meets an expected unit threshold of an average according to the model.
All consumers in the Hello or Help phase of Wraparound will have minimally 1 hour of billable service per week.
All mandatory trainings are completed by their due date. Competencies (SAMHSA-HRSA Center for Integrated Health Solutions)

Interpersonal Communication The ability to establish rapport quickly and to communicate effectively with consumers of healthcare, their family members, and other providers. Examples include active listening; conveying information in a jargon-free, non-judgmental manner; using terminology common to the setting in which care is delivered; and adapting to the preferred mode of communication of the consumers and families served.

Collaboration & Teamwork The ability to function effectively as a member of an interprofessional team that includes behavioral health and primary care providers, consumers, and family members. Examples include understanding and valuing the roles and responsibilities of other team members, expressing professional opinions, and resolving differences of opinion quickly, providing and seeking consultation, and fostering shared decision-making.

Screening & Assessment The ability to conduct brief, evidence-based and developmentally appropriate screening and to conduct or arrange for more detailed assessments when indicated. Examples include screening and assessment for: risky, harmful, or dependent use of substances; cognitive impairment; mental health problems; behaviors that compromise health; harm to self or others; and abuse, neglect, and domestic violence.

Care Planning & Care Coordination The ability to create and implement integrated care plans, ensuring access to an array of linked services, and the exchange of information among consumers, family members, and providers. Examples include assisting in the development of care plans, whole health, and wellness recovery plans; matching the type and intensity of services to consumers needs; providing patient navigation services; and implementing disease management programs.

Intervention The ability to provide a range of brief, focused prevention, treatment and recovery services, as well as longer- term treatment and support for consumers with persistent illnesses. Examples include motivational interventions, health promotion and wellness services, health education, crisis intervention, brief treatments for mental health and substance use problems, and medication assisted treatments.

Cultural Competence & Adaptation The ability to provide services that are relevant to the culture of the consumer and their family. Examples include identifying and addressing disparities in healthcare access and quality, adapting services to language preferences and cultural norms, and promoting diversity among the providers working in interprofessional teams.

Systems Oriented Practice The ability to function effectively within the organizational and financial structures of the local system of healthcare. Examples include understanding and educating consumers about healthcare benefits, navigating utilization management processes, and adjusting the delivery of care to emerging healthcare reforms.

Practice-Based Learning & Quality Improvement The ability to assess and continually improve the services delivered as an individual provider and as an interprofessional team. Examples include identifying and implementing evidence-based practices, assessing treatment fidelity, measuring consumer satisfaction and healthcare outcomes, recognizing and rapidly addressing errors in care, and collaborating with other team members on service improvement.

Informatics The ability to use information technology to support and improve integrated healthcare. Examples include using electronic health records efficiently and effectively; employing computer and web-screening, assessment, and intervention tools; utilizing telehealth applications; and safeguarding privacy and confidentiality.
Job Specifications (Knowledge, Skills, and Abilities)
Knowledge
Knowledge of community mental health
Knowledge of current practices, methods, and procedures in the delivery of behavioral health services, diagnosis, and treatment.
Knowledge of credentialing status in order to perform duties within their scope.
Knowledge and understanding of all regulations, contract requirements, standards applicable to performance of duties.
Working knowledge of resources, including but not limited to: Diagnostic Criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM), Medicaid Provider Manual, LifeWays Provider Manual, Michigan Department of Health and Human Services (MDHHS), International Classification of Diseases (ICD), LifeWays Policies and Procedures, LifeWays Process Alerts, Electronic Medical Record (EMR), Physicians Desk Reference (PDR), and departmental processes. At least one year of experience in providing treatment services for children and families.
Experience in and or an understanding and knowledge of the evidence-based treatment models and mental health services.
Must complete a minimum of 24 hours of training annually focusing specifically on the treatment of children and families.
Must complete the MDHHS New Facilitator training within 90 days of hire.
Participates in WRAP and state required training within 90 days of hire.
Skills
Excellent interpersonal skills in order to establish and maintain effective working relationships with a variety of stakeholders (consumers, professionals, community members).
Ability to lead and facilitate a treatment team.
Skill in concurrent/collaborative documentation of services.
Excellent time management skills in a setting with potential frequent interruptions; ability to
coordinate multiple concurrent duties and perform tasks in an organized and timely manner, with
attention to detail.
Proficient in computer applications including Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), Electronic Medical Record, LifeWays Intranet, and Internet applications.
Abilities
Ability to engage with children and families.
Ability to assist families in identifying their strengths, needs and barriers.
Ability to help families identify and utilize natural supports and community-based resources.
Ability to effectively interface with multiple service providers and other stakeholders involved with families served.
Ability to effectively facilitate Community Team and Child and Family Team meetings.
Ability to provide services with model adherence.
Ability to meet an expected unit threshold of an average according to the model.
Ability to meet expected case documentation requirements.
Ability to maintain compliance with agency and contractual training and licensure requirements.

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