Kirstin Care Health Home AssistantKirstin Care Health Home is a growing outpatient and community mental health programthat is operating in the Maryland area. The services provided are comprehensive caremanagement, care coordination, health promotion, comprehensive transitional care,individual & family support service, and referrals to external services. Services areoffered for adults and children starting from age 5-65 and are offered in the office andthe consumer’s household.Education: Associates Degree, Bachelor’s Degree, Master’s DegreeThis is a part-time positionResponsibilities: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 needsThe intern will assist the health home nurse and admin team with development of consumer-centered care planThe intern will assist the health home nurse and admin team with development of treatment guidelinesThe 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 guidelinesThe intern will assist the health home nurse and admin team with reporting of progress toward outcomes for consumer satisfaction, health status, service delivery, and costsThe intern will assist the health home nurse and admin team with implementation of the consumer-centered care plan, including appointment schedulingThe 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 conditionsThe intern will assist the health home nurse and admin team with development and follow-up of self-management plans emphasizing person-centered empowermentThe intern will assist the health home nurse and admin team with education regarding immunizations and screeningsThe 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 supportsReduce 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; andEmphasize proactive health promotion and self-management.Description of the program:Health Home offers enhanced services and supports for participants with serious mentalhealth issues, emotional disturbance, and opioid substance use disorders. Thecomplexity of managing these conditions often increases the challenges of treating andpreventing additional chronic health issues, both behavioral and somatic. Those withbehavioral health conditions face unique barriers in addressing their physical healthneeds, resulting in disproportionately poor health outcomes, low engagement inpreventive health efforts, and high rates of avoidable hospital and emergencydepartment (ED)encounters. Health Home assists participants of all ages in improvingoverall wellness through a whole-person approach to addressing their behavioral,somatic, and social needs. Becoming a Health Home allows behavioral health providersto augment their existing services, building upon and adding to their staff and activitiesto better serve participants. This is accomplished through connecting participants andcaregivers to the myriad of supports and services available to them, offering healthpromotion activities, monitoring both somatic and behavioral health needs, and assistingwith transitional care. The Health Home becomes the locus of care, buildingparticipants’ self-management capacity while reducing avoidable hospital usage andultimately improving outcomes.Like adults with serious mental illness, children and adolescents with serious emotionaldisturbance face an elevated risk of adverse health consequences. While all Health Homes aim to reduce these negative outcomes, those serving childrenemphasize coordinated prevention, health promotion, and wellness activities that focuson their health-related choices and behaviors. These efforts involve augmenting the existingservices provided to children with SED through not only the somatic and behavioralhealth care systems, but also through local school systems, the child welfare andjuvenile justice authorities when applicable, and other child and family service providersas appropriate.Job Type: Part-time