Care Coordinator

The AmeriCorps member will be serving with Sulzbacher’s Mental Health Offender Program (MHOP) as the Care Coordinator. MHOP is an new, innovative jail diversion program to keep those individuals with severe and persistent mental illness and misdemeanor offenses out of the correctional system in Duval County. It is a collaborative problem solving court program with many stakeholders and partners, including the Sulzbacher Center, the City of Jacksonville, the Duval County Judges, Jacksonville Sheriff's Office, the State Attorney’s Office, the Public Defender’s Office, as well as other local and state nonprofits.  MHOP provides housing, healthcare, incoming assistance, and case management to individuals with a high recidivism rate and severe and persistent mental illness. The member will be serving alongside a comprehensive team, including psychiatrists, intensive case managers, peer support specialists, housing and income case managers, and after care case managers.

As a Care Coordinator, the AmeriCorps member’s main role will be processing client intakes, along with facilitating their continued care throughout the program in alignment with MHOP’s Pathway of Care process. As MHOP continued to grow from its pilot phase in October of 2021, the program found a need and opportunity for a skilled, passionate and driven team member who would thrive within the fast paced environment of Sulzbacher’s MHOP program. The AmeriCorps member will be working directly with individuals who have severe and persistent mental illness, a history of substance use, a history of non-violent misdemeanor crimes (and possibly some remote felony crimes), as well as varying degrees of unstable housing and income. Clients are referred in several ways, mainly via a list created by the Jacksonville Sheriff's Office and the Duval County Judges but need to be screened and accepted by the MHOP team.  MHOP is led by a board certified psychiatrists.

• Health education
• Psychosocial rehab - Member will facilitate social activities for the clients.
• Aftercare Assistance - Member will facilitate group classes for graduate MHOP clients that need supplementary care. 
• Practicing intake and referrals of patients in need
• Identifying patients who are at-risk to assess eligibility for various services
• Offering and reviewing screenings or self-referrals
• Referring patients to other programs and community services tracking
• Providing follow-up and case management to deliver assistance and information
• Implementing patient engagement strategies to improve outcomes
• Developing and/or facilitating classes with other professionals
• Maintaining professional boundaries and respecting patient confidentiality
• Coordinating health and wellness activities including classes and groups
• Educating patients on medical interventions and prevention
• Auditing charts for quality assurance
• Documenting interactions with patients in an electronic health record
• Attending and participating in community or host site events creating
• Updating documentation to assess program adoption and progress
• Collaborating with supervisors and other leadership
• Implement strategies to recruit clients to attend health and wellness classes
• Screening persons admitted for referral to behavioral health services conducting
• Social determinants of health screener
• Providing social service navigation
• Maintaining, assembling, and distributing materials and supplies
• Participating in meetings and conferences
• Conducting program quality improvement and data analysis

• Empathetic, outgoing, patient, and caring.

• Team player, have strong initiative, and be adaptable.

• Comfortable serving clients with severe mental illnesses, history of substance use and history of incarceration.

• Strong interpersonal skills, effective communication, preferably have experience in de-escalation, and strong problem solving skills. 

• Comfortable maneuvering and navigating emotional events accompanying mental illnesses and substance use, with the help of MHOP team members. 

• Strong interest in serving clients with mental illnesses, especially schizophrenia and schizoaffective disorder which are the two most common diagnoses of MHOP clients.  The member will have an interest in learning about the behavioral health side of human services, along with the factors impacting homelessness and healthcare deficits.

• Knowledge of AmeriCorps/Health Corps member requirements

Member uses initiative in carrying out recurring assignments following set procedures, independently. The supervisor assigns service activities, advises on changes in procedures, and is available for assistance when required.

The service activities are reviewed for accuracy through spot checks, through complaints from customers, and through observation of the Member at service.

Guidelines are generally applicable, but the Member independently makes adaptations in dealing with problems and unusual situations.

Member has to develop, analyze, or evaluate information before the service position can progress.

The Member’s service output is necessary in order to facilitate the service of other staff. Member provides timely services of a personal nature to others. The service position product or service affects the accuracy, reliability, or acceptability of further processes or services. The service position product or services affect the social, physical, and economic well-being of a substantial number of people on an ongoing basis. The member is required to investigate or analyze a variety of unusual conditions, problems, or questions.

Clients

Care coordination

• Personal vehicle recommended. Also accessible via public transportation.
• Valid driver's license
• Ability to travel
• Proof of COVID-19 vaccination

Level II background check