This position is pending subject to Board of Trustees approval for Fiscal Year 2027 and is scheduled to start no earlier than 9-1-26
Minimum Starting Hourly Rate: $21.37/hr
Maximum Starting Hourly Rate - Dependent on Qualifications
Benefits
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Health
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Dental
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Vision
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Life Insurance
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Generous Paid Time Off - 9.23 hrs per pay period
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10 Observed Company Paid Holidays
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8 Hours Annual Volunteer Time Off
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Retirement Plan w/ 6% Employer Contribution
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Employee Assistance Program
GENERAL DESCRIPTION:
This position is responsible for promoting continuity, quality, and accessibility of care by coordinating clinical and non-clinical services, supporting successful community reintegration, and ensuring compliance with Texas Administrative Code and HHSC requirements. The CoC Liaison works closely with individuals served, legally authorized representatives (LARs), hospitals, and community providers to prevent service gaps and improve outcomes.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Care Coordination & Transition Management
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Provide continuity of care (CoC) services for individuals admitted to or transitioning from a State Mental Health Facility (SMHF), Private Psychiatric Bed (PPB), or Residential Treatment Center (RTC).
- Ensure uninterrupted service delivery from admission through discharge and community reintegration.
- Assess and identify medical, psychiatric, psychological, educational, and rehabilitative needs.
- Develop and implement individualized discharge and transition plans.
- Coordinate treatment, care, and services across multiple systems and providers.
Communication & Collaboration
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Communicate or ensure CCS staff communicate clinical status and service engagement with facilities prior to or upon admission.
- Attend or ensure CCS representation at treatment team meetings.
- Maintain ongoing collaboration with state hospitals, psychiatric facilities, and community partners.
- Participate in routine meetings with hospital systems to ensure alignment and coordination.
Monitoring & Quality Assurance
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Monitor and track individuals admitted to SMHFs, PPBs, and RTCs.
- Ensure quality, consistency, and compliance of CoC activities across admissions and discharges.
- Support process improvement initiatives, including exploring technology to enhance coordination and transitions.
Discharge Planning & Community Integration
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Ensure hospital follow-up appointments are scheduled within seven calendar days of discharge to each person discharged from a SMHF, PPB, or RTC.
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Ensure psychiatric follow-up appointments are scheduled within required timeframes (within 14 calendar days of discharge or prior to medication depletion, per 26 TAC §306.207).
- Identify and coordinate access to non-clinical supports including housing, food, clothing, and educational services.
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Assist individuals in securing appropriate living arrangements aligned with their preferences and clinical needs.
- Identify and connect individuals to community-based providers and resources.
- Ensure compliance with Preadmission Screening and Resident Review (PASRR) requirements when applicable.
Documentation & Compliance
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Maintain accurate, timely, and complete clinical documentation in accordance with CCS policies and state regulations.
- Document all treatment activities and coordination efforts in the clinical record.
- Ensure compliance with HHSC rules, CCS standards, and applicable regulations.
Other Duties
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Perform additional duties as assigned to support comprehensive, consistent, and person-centered CoC services.
GENERAL QUALIFICATIONS:
Education
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Bachelor’s degree from an accredited college or university in Social Work, Psychology, Counseling, Human Services, or a related field
Experience
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Two (2) years of experience in mental health services, case management, or care coordination
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Experience working with individuals with serious mental illness (SMI) preferred
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Experience coordination care across multiple systems (hospitals, community providers, etc.) preferred
Knowledge, Skills, and Abilities
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Central Counties Services incorporates principles of trauma-informed care, which includes cultural sensitivity, in all areas of service delivery. All job descriptions include the responsibility to learn about and implement trauma-informed practices within the scope of work for the position.
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Strong care coordination and case management skills
- Knowledge of community resources and behavioral health systems
- Effective communication and interpersonal skills
- Ability to collaborate with multidisciplinary teams
- Strong organizational, time management, and documentation skills
- Ability to manage multiple priorities in a fast-paced environment
- Proficiency in electronic health records (EHR) systems
Relationship skills
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Ability to communicate effectively, both verbally and in writing.
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Work behavior must be compatible with Center value statement and Policies and Procedure Manual contributing to an environment of problem solving, building trust, conflict resolution, and customer service.
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Ability to perform tasks effectively and efficiently.
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Ability to plan and schedule work and implement directives without constant supervision.
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Ability to present a professional appearance and conduct when representing the center.
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Ability to work cooperatively and productively with supervisor, individuals, co-workers, and groups of persons at all levels of activity, contributing to a strong spirit of teamwork.
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Ability to establish and maintain effective working relationships with staff, other agencies and the general public using tact, courtesy and good judgment.
Additional Requirements
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Must have a valid drivers’ license.
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Regular attendance and reliability is critical to business operations.
Other Duties
- This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice
WORK ENVIRONMENT AND FUNCTIONAL REQUIREMENTS
This position requires the ability to:
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Sit, stand, and walk for extended periods of time.
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See, hear, and communicate effectively to perform job duties.
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Use a computer, telephone, and standard office equipment for prolonged periods.
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Perform repetitive tasks such as typing, filing, and data entry.
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Lift and/or move up to 15 pounds.
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Interact frequently with consumers, staff, and the public in a professional and customer focused manner.
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Respond appropriately to challenging or unpredictable situations, including safely de-escalating and managing interactions with individuals who may exhibit verbally or physically escalated behavior, in accordance with training and Center policies.
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Ability to perform the essential functions of the position safely and effectively, including maintaining professionalism, sound judgment, appropriate interpersonal interactions, concentration, and the ability to respond appropriately in stressful or crisis situations, with or without reasonable accommodation.
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Work in an environment with frequent interruptions and changing priorities.
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Perform the essential functions of the position, with or without reasonable accommodation, in accordance with the Americans with Disabilities Act (ADA).
AT-WILL EMPLOYMENT STATEMENT
Employment with Central Counties Services is at-will. This means that either the employee or the Center may terminate the employment relationship at any time, with or without notice, and with or without cause, subject to applicable law. Nothing in this job description or any other policy, procedure, or communication should be construed as creating a contract of employment or altering the at-will nature of employment.
EQUAL OPPORTUNITY EMPLOYER
Central Counties Services is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity Employer, making decisions without regard to race, color, ethnicity, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran status, genetic information, or any other characteristic protected by state or federal law.
