At Aunt Martha’s Health & Wellness, we are boldly committed to advancing the well-being of our communities. Guided by a culture of innovation, we ensure equitable access and deliver exceptional care to every patient.
Under the supervision of the CCS Supervisor, the Intensive Care Coordinator serves as a vital liaison between patients, families, and the broader network of primary care and behavioral health services. This role ensures the delivery of coordinated, high-quality care and provides advocacy, guidance, and support to help patients achieve their health goals.
The Intensive Care Coordinator is expected to demonstrate strong customer service skills, maintain patient confidentiality, and thrive in a fast-paced environment that requires multitasking, attention to detail, and collaboration across multiple teams.
Uphold patient confidentiality and ethical standards at all times.
Deliver excellent service using the AIDET model, ensuring positive patient and family experiences.
Manage a caseload effectively to address behavioral health needs.
Coordinate medical, dental, and behavioral health appointments.
Ensure regular contact with patients: 1 in-person visit monthly, 3 phone check-ins monthly, and family team meetings every 2 months.
Develop and maintain care plans in collaboration with patients, families, and providers.
Document patient information accurately in all required systems and databases.
Act as a liaison by participating in patient care team meetings, consultations, and huddles.
Maintain knowledge of medical and mental health conditions and their impacts on patients.
Conduct assessments using evidence-based screening tools (e.g., SBIRT, PHQ-2/9, GAD-7, Vanderbilt).
Provide case management and referrals for mental health, substance use, and community resources.
Collaborate with health plans, hospitals, specialists, and physicians to ensure comprehensive care.
Participate in required training, meetings, and complete all Core Curriculum courses.
Perform other duties as assigned.
Dependability and reliability, with the ability to go above and beyond to achieve goals.
Initiative to identify problems/opportunities and implement solutions.
Strong prioritization and time management skills in a dynamic environment.
Data-driven decision making with attention to accuracy and compliance.
Collaborative team player who brings positive energy and contributes to team success.
Proficiency in technology and willingness to maintain professional growth.
Strong written and verbal communication skills.
Excellent organizational skills and attention to detail.
Competitive Pay: $19–$21/hour
Health, Dental, and Vision Insurance
Disability & Life Insurance
Paid Vacation, Sick Leave, and Holidays
Retirement Plan
Employee Assistance Program (EAP)
Discounts on services (cell phones, restaurants, and more)
Education & Experience
Bachelor’s degree in Social Work, Psychology, or related field preferred.
At least 1 year of experience in behavioral health or related field preferred.
Proficiency with Microsoft Office and database management; strong data entry skills.
Other Requirements
Valid driver’s license and current auto insurance.
Flexibility to work evenings, weekends, and scheduled holidays as needed.