Kirstin Care Health Home Assistant
Kirstin Care Health Home is a growing outpatient and community mental health program
that is operating in the Maryland area. The services provided are comprehensive care
management, care coordination, health promotion, comprehensive transitional care,
individual & family support service, and referrals to external services. Services are
offered for adults and children starting from age 5-65 and are offered in the office and
the consumer’s household.
Education: Associates Degree, Bachelor’s Degree, Master’s Degree
This is a part-time position
Responsibilities:
- The intern will assist the health home nurse and admin team with comprehensive assessment of preliminary service needs, including screening for co-occurring behavioral and somatic health needs
- The intern will assist the health home nurse and admin team with development of consumer-centered care plan
- The intern will assist the health home nurse and admin team with development of treatment guidelines
- The intern will assist the health home nurse and admin team with monitoring of individual and population health status and service use to determine adherence to treatment guidelines
- The intern will assist the health home nurse and admin team with reporting of progress toward outcomes for consumer satisfaction, health status, service delivery, and costs
- The intern will assist the health home nurse and admin team with implementation of the consumer-centered care plan, including appointment scheduling
- The intern will assist the health home nurse and admin team with conducting referrals and follow-up monitoring, including long-term services and peer-based support;
- The intern will assist the health home nurse and admin team with participating in hospital discharge processes communicating with other providers and consumers/family members, as appropriate.
- The intern will assist the health home nurse and admin team with health education, specific to chronic conditions
- The intern will assist the health home nurse and admin team with development and follow-up of self-management plans emphasizing person-centered empowerment
- The intern will assist the health home nurse and admin team with education regarding immunizations and screenings
- The intern will assist the health home nurse and admin team with health promoting lifestyle interventions, such as: – Substance use prevention – Tobacco prevention and cessation; – Nutritional counseling, obesity reduction and prevention; and – Physical activity.
- The intern will assist the health home nurse and admin team with comprehensive transitional care services aim to:
- Streamline plans of care ease the transition to long-term services and supports
- Reduce hospital admissions and interrupt patterns of frequent hospital emergency department use.
The Health Home Team will:
- Collaborate with clinical, therapeutic, rehabilitative, and other providers to implement the treatment plan;
- Increase consumers’ and family members’ ability to manage care and live safely in the community; and
- Emphasize proactive health promotion and self-management.
Description of the program:
Health Home offers enhanced services and supports for participants with serious mental
health issues, emotional disturbance, and opioid substance use disorders. The
complexity of managing these conditions often increases the challenges of treating and
preventing additional chronic health issues, both behavioral and somatic. Those with
behavioral health conditions face unique barriers in addressing their physical health
needs, resulting in disproportionately poor health outcomes, low engagement in
preventive health efforts, and high rates of avoidable hospital and emergency
department (ED)encounters. Health Home assists participants of all ages in improving
overall wellness through a whole-person approach to addressing their behavioral,
somatic, and social needs. Becoming a Health Home allows behavioral health providers
to augment their existing services, building upon and adding to their staff and activities
to better serve participants. This is accomplished through connecting participants and
caregivers to the myriad of supports and services available to them, offering health
promotion activities, monitoring both somatic and behavioral health needs, and assisting
with transitional care. The Health Home becomes the locus of care, building
participants’ self-management capacity while reducing avoidable hospital usage and
ultimately improving outcomes.
Like adults with serious mental illness, children and adolescents with serious emotional
disturbance face an elevated risk of adverse health consequences. While all Health Homes aim to reduce these negative outcomes, those serving children
emphasize coordinated prevention, health promotion, and wellness activities that focus
on their health-related choices and behaviors. These efforts involve augmenting the existing
services provided to children with SED through not only the somatic and behavioral
health care systems, but also through local school systems, the child welfare and
juvenile justice authorities when applicable, and other child and family service providers
as appropriate.
Job Type: Part-time