•Assure that clients reliably attend medical/outpatient appointments.
•Assure that clients comply with prescription regiment.
•Write clear service plans and progress notes and maintain meticulous documentation of service visits
•Provide services in the clinical home and in the community
•Coordinate ancillary care for clients to ensure continuous, comprehensive care.
•Collaborate with all members of the team, primary care specialty doctor and all partners on a regular basis.
•Initiate appropriate referrals to ensure authorization, Assist clients to obtain access to transportation.
•Research, evaluate and recommend community resources for clients.
•Work with medical home team inpatient providers, discharge planners, nurse partners to ensure efficient use of inpatient resources in a timely discharge to an appropriate setting.
•Collaborate with mental health and substance abuse care providers, collaboratively with the Value Options Field Care Coordinator to ensure coordination of all services and integration of services.
•Report serious incidents, allegations, or sensitive situations to supervisors. Complete incident reports in accordance with policy. The day was busy, however co-workers worked well together and made the work enjoyable.
learned that i had more patience then originally thought. i learned a lot from the clients.
if you don't pace yourself it could be draining.