Care Coordinator - Co-Occurring Enhanced Services - Women's Residence - New Day

Reports to: Clinical Director

Supervises: None

Job Summary:

The Care Coordinator is responsible for assisting residents to obtain needed services by providing information, referral coordination and follow-up; develop and connect with resources that address both substance use and mental health disorders; coordinate medical and behavioral services offered through health insurance; coordinate MAT and psychiatric services while resident is in the program as well as assisting in the aftercare plan. The Care Coordinator contributes to Bay Cove’s mission by partnering with individuals in their recovery journey to recovery and improved quality of life.

This is a non-exempt position.

Essential Job Duties and Responsibilities (may include some or all of the following, based on modality):

• Interact therapeutically with residents to ensure their needs are met.


• Serve as primary point of contact for resident’s care planning and coordination


• Inform residents of options for specific Substance Use and Behavioral Health services, programs, and providers that best meet identified needs.


• Identify community and social services to support health and wellbeing of residents


• Coordinate with providers regarding appointments and medications


• Maintain resident records in compliance with agency and funder requirements.


• Provide coordination of all required treatment services either directly by the program or through Qualified Service Organizations, Business Associate Agreement, or other applicable agreement.


• Identification of transitional, discharge and aftercare supports the resident may require.


• Connect residents to appropriate providers based on continuum of care and residents educational, vocational, financial, legal and housing; and (2) updating the residents' primary care provider on treatment and progress, such as by providing the residents' record to the primary care provider upon the resident’s documented authorization.


• Provide crisis intervention when necessary..


• Make appropriate referrals and complete follow-up referrals to insure proper aftercare.


• Complete progress notes


• Enforce policies and procedures of the program..


• Conduct urine drug screens in a trauma informed manner and document and report all outcomes to the team.


• Attend and participate in staff meetings, supervision, and related professional development sessions.

All BSAS licensed programs must have at least one staff member designated to serve as coordinator of one of the following three topics. If assigned, both supervisor and employee must initial to acknowledge the assignment:

• Serve as the program’s Access Coordinator by developing and implementing the evaluation, plan, and annual review of the program’s performance in ensuring equitable access to services as required by 105 CMR 164.040(A)(11).


• Serve as the program’s HIV/AIDS Coordinator by overseeing confidential HIV risk assessment and access to counseling and testing; staff, patient, and resident HIV/AIDS and hepatitis education; and Department requirements for admission, service planning and discharge of HIV positive patients or residents.


• Serve as the program’s Tobacco Education Coordinator by assisting staff in implementing BSAS guidelines for integrating tobacco assessment, education and treatment into program services.

Education and/or Experience Required

• BA/BS or minimum four years’ experience in substance use and behavioral health


• Prior knowledge of the field of substance abuse.


• Knowledge of modality specific issues, such as substance abuse, homelessness, trauma, and other co-occurring disorders.


• Must be knowledgeable with the Confidentiality of Alcohol and Drug Abuse Patient Record (Title 42CFR-Part 2).


• CPR/First Aid Certification


• Must stay current with any modality required training, including but not limited to HIV/AIDS, Hep C, Narcan, Servsafe, Crisis Intervention, Harrassment, etc.

Skills Required:

• Knowledge and familiarity of evidence based practices and trauma informed treatments.


• Good written and verbal skills, computer skills, record keeping, and organizational skills.


• Ability to follow and enforce the policies and procedures of the program.


• Be able to work independently and be responsible.


• Able to accept supervision and be part of a team.


• Ability to respond physically to the needs of the clients or other programs issues on all floors of the facility.

Physical Requirements:

• Frequent interaction with providers, colleagues, residents, and visitors requiring the employee to communicate, as well as detect and interpret information, needs, and issues quickly and accurately, occasionally during emergency situations.


• Frequent communication of accurate information, instructions, and ideas so others will understand.


• Bending to retrieve, lift, and carry supplies and equipment up to twenty (20) pounds.


• Frequent movement throughout the residence to conduct checks and to access, obtain, or distribute supplies (sometimes pushing or pulling equipment), interact with residents, etc.


• Undertake lifesaving efforts by conducting CPR via the provision of chest compressions and rescue breathing as needed until relieved by medical professionals.


• Remain in a stationary position for an extended period of time, as needed.