High Fidelity Wraparound Care Coordinator

The Wraparound Care Coordinator will work as part of the Child and Family Team (CFT) to assist young people with emotional/behavioral needs (ages 3-20) and their families in strengthening systems of natural support, improving the ability and confidence of family members in managing their services and organizing formal and community supports through a comprehensive, individualized, holistic support plan.

• Convenes, coordinates, communicates, and facilitates a Child and Family Team Meeting (CFTM) with the family and identified collateral contacts to implement the Plan of Care at least monthly.
• Assures that families have a voice, sustained access to, and ownership of their Plan of Care and associated resources.
• In partnership with the family, develops an individualized Plan of Care every 30-days at a minimum that adheres to National Wraparound Initiative standards.
• Submits the Plan of Care to the Statewide Management Organization (SMO) for review prior to the end of the initial 30-day authorization period.
• Works directly with the child/youth and family to implement elements of the Plan of Care.
• Formalizes, monitors, and modifies the Plan of Care developed by the wraparound team and updates the Plan of Care to reflect the changing needs of the child/youth within 48-hours of every CFTM.
• Coordinates the delivery of available services.
• Develops, in concert with the individual and collateral contacts, a transition plan when the child/youth has achieved the goals of the plan of care.
• Monitors the Plan of Care to ascertain whether certain services are being provided in accordance with the Plan of Care and are adequate.
• Documents all activities in an electronic health record.
• Complies with all other required documentation and data collection in support of the program’s implementation and evaluation strategy.
• Works with a Licensed Mental Health Professional each eligibility period to ensure that the comprehensive assessment is completed, and the results are incorporated into the Child and Family Team (CFT) process.
• Collaborates with other service providers on the child/youth and family’s behalf on an ongoing basis.
• Demonstrates an ongoing awareness of the community resources that could potentially be useful to the child/youth and family.
• Identifies other community and individual supports that can be used by the family to achieve their care plan; these can include friends, relatives and or religious/community affiliations.
• Develops positive relationships with community-based providers to ensure access to quality services for children, youth and families.
• Ensures that an established community crisis support service is available to families during times of …