Clinical Coordinator, Integrated Response Team

Detailed Overview

In accordance with Fraser Health's Vision, Mission and Values, program mandates and clinical practice guidelines, coordinates local Integrated Response Teams to support individuals living in sheltered, unsheltered or supportive housing and in need of health services by providing low-barrier, team-based primary care, addiction medicine and health promotion services at point of care, focussing on harm reduction support, stabilizing chronic health conditions, stability in housing, and promoting health and resilience. Coordinates day-to day operations of the assigned inter-disciplinary teams in assigned communities and supports and enables care coordination within the local service area and across the care continuum. Facilitates consistent, relevant and timely wrap-around treatment on-demand, rapid re-engagement, referral, access to information and outreach services, and traditional healing and cultural wellness supports where appropriate and feasible. Provides leadership to contracted service providers and interdisciplinary teams in the development, delivery, and evaluation of service delivery to enable effective utilization of client resources, uphold cultural safety and humility throughout all aspects of the service, and facilitate the integration of Trauma-Resiliency Informed Practice (TRIP). Establishes strong working relationships with other health care providers and community partners. Ensures that operations and service planning align with establishing a dignifying, purposeful and trusting relationship with clients, promoting self-determination and independence; encourages knowledge exchange in day-to day activities, and empowers clients and natural supports to connect and engage within their communities. Ensures that individuals with lived experience and their family members are supported in navigating the health care system. Responsibilities Coordinates the day-to-day activities to ensure optimal use of resources and efficient use of clinical staff by methods such as establishing client priorities, assigning and adjusting work assignments, ensuring that necessary resources are available, promoting a positive team environment, and ensuring that staff have access to critical incident debriefing. Supervises designated clinical staff by providing work assignments, clinical supervision, coaching and feedback, and implementing corrective action where required. Participates in performance evaluation, assisting in planning staff training, development and orientation requirements, and develops, organizes and implements in-services and education programs for staff in collaboration with the Manager. Participates in the recruitment of new clinical staff by acting as an interview panel member, developing interview questions, and making recommendations to the Manager regarding hiring decisions. Conducts client file reviews by reviewing clinical records ensuring that they are complete and clinically sound. Provides a linkage between community mental health and substance use programs, public health, primary care, the acute care hospitals, housing and non-profit agencies by performing duties such as leading and participating in intake meetings, client reviews, case conferences to review cases that may require follow-up and meeting with Clinicians to discuss new referrals or those currently on caseload. Maintains client records by methods such as documenting client assessments, charting client information via PARIS and/or other clinical information systems, preparing progress notes and reports in accordance with established standards, policies and procedures to meet regulatory requirements and documenting for future reference and ensuring that access to and disclosure of information and records are in accordance with the Freedom of Information Act. Assists staff in resolving complex clinical issues by providing clinical consultation, role modeling, instruction, and coaching with problem solving. Oversees the development of joint care plans by methods such as providing reminders to staff and reviewing and monitoring care plans to ensure proper completion. Participates with patients, families, community supports, interdisciplinary treatment teams and housing providers to coordinate services, manage cases and facilitate meetings. Educates and provides consultation to clients, families, healthcare professionals, and facility staff based on identified learning needs on issues related to high risk factors, recovery and current community practice relevant to mental illness and substance use. Maintains a variety of records such as program activities, workload statistics, and monthly reports by methods such as recording information into approved formats, collating data, analyzing trends, accounting for variances, preparing reports as required, and making recommendations to the Manager. Ensures staff compliance with statistical documentation regarding client information systems by reviewing data information and providing reminders to staff. Participates in risk management for the clinical area by methods such as conducting safety audits, investigating, and reviewing related reports and taking corrective action. Reviews Serious Incident Reports, files and advises Manager of any that should be brought to his/her attention. Recommends changes to selected policies, procedures and protocols and provides feedback to the Manager. Participates in Fraser Health-led client safety reviews as necessary. Develops and implements quality improvement processes by methods such as engaging in programs/practice evaluation, identifying opportunities for change, assessing available resources, initiating solutions, analyzing outcomes and identifying areas for improved efficiency and effectiveness in service delivery to enhance patient care services and reduce gaps in the community. Participates in quality assurance audits, facility reviews and facility or staff investigations as required. Assists in resolving client and family complaints by discussing issues with those involved for the purpose of determining an appropriate resolution. Provides leadership, in conjunction with the Manager, the Medical Director and the team, in setting the clinical direction for the program by methods such as determining short and long term program goals and objectives. Provides input and recommendations.to the Manager with regards to the optimal use of budgetary resources. Initiates, develops, and carries out research activities and program planning and development relevant to the needs of the client, families, community and facilities in collaboration with the interdisciplinary team. Follows through with research methodology. Disseminates research findings and ensures clinical practices and protocols are consistent with research and evidence-based practice in the relevant field. Participates as a member of local, regional, and Provincial committees and planning bodies by methods such as attending meetings, providing input, facilitating resolution of issues, and advocating the goals and objectives of the program, as delegated by the Manager. Maintains broad development in the assigned clinical specialty area by methods such as reviewing literature, consulting with clinical and community experts within the field, evaluating practice and participating in professional development activities in order to improve care through new practices. Performs other related duties as assigned. Qualifications Education and Experience Master's Degree in Social Work, Clinical Counseling or other relevant health related discipline. Eligible for registration with relevant professional association. Four years recent related experience, including two years of staff supervisory experience, as well as clinical experience in individual, family and group modalities of practice in mental health/psychiatry in community and/or hospital settings, or an equivalent combination of education, training, and experience. Valid B.C. Driver's license and access to personal vehicle for work related purposes. Skills and Abilities Demonstrated knowledge of Mental Health, Substance Use & Home Health clinical treatment practices provided within a trauma-informed and harm reduction framework. Knowledge and understanding of Aboriginal cultural practices and beliefs with reference to mental & physical health status. Ability to promote person-centered care that demonstrates empathy for clients/families/care givers, sensitivity to diverse cultures and preferences, and includes advocacy for special populations. Demonstrated ability to provide effective clinical supervision and leadership to staff within an interdisciplinary team setting. Demonstrated ability to design, implement, revise and participate in the evaluation of programs. Demonstrated ability to teach and facilitate learning of staff and/or clients and families. Working knowledge of psychopharmacology, community resources, and de-escalation techniques. Working knowledge of most current DSM Multiaxial Diagnosis or International Classification of Diseases 10. Demonstrated comprehensive knowledge of relevant Acts, pertinent regulations, policies and procedures, and other statutory duties. Ability to develop consultation and advisory processes. Demonstrated ability to deal effectively with others and manage conflict situations. Demonstrated ability to plan, organize and prioritize work in continuously changing environment. Ability to communicate effectively both verbally and in writing. Demonstrated ability to work independently and collaboratively as a member of an interdisciplinary team, including working effectively in a multicultural environment. Problem solving and decision making skills, and ability to exercise sound judgement. Ability to operate related equipment including applicable software applications and clinical systems. Physical ability to carry out the duties of the position.

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