Health Home Coordinator - Child *Up to $500 Sign-on bonus - Oxford (415)

*Inquire for specific details. Sign on Bonuses are pro-rated based hours per week. First 1/2 is paid upon successful completion of 90 day review/introductory period completion and second half is paid after 6 months from hire date, pending introductory period has been completed. This policy effects applicants who have applied any day after 7/27/2020. 


Under the direction of a Program Team Lead and the Manager of Integrated Services, the Health Home Coordinator is responsible for assisting children with serious emotional disturbance and their families by providing rehabilitative and treatment services as well as environmental supports that promote the integration of the consumer into the community, sustain the consumer in his/her current living situation or another living situation of the family's choice, and enhance the quality of his/her life.


Demonstrates commitment to the mission of the agency with a strong understanding and respect for the goals of agency activities.

Helps consumers and families identify strengths and needs, set goals and develop a Plan of Care; participates with team members in the development of a holistic assessment of the consumer, including physical, emotional, psychological, and spiritual.

Participates with consumer, family and other staff in the development and implementation of a Plan of Care that supports and advocates individuals to improve their health and wellness, live a  self-directed life, and strive to reach their full potential.

Ensures that consumers and their families understand their rights regarding confidentiality and that the rights of consumers are protected as delineated in applicable standards, policies, and procedures.

Oversees Plan of Care and coordination of services, ensuring that consumers and families are actively participating in reaching goals identified in the plan.

Supports the consumer's right to make decisions related to his/her plan of care, reflecting a trauma-informed, recovery-oriented approach.

Assesses changes in the functioning of the persons served and modifies the plan of care, as appropriate, in accordance with established policies and procedures.

Provides supportive listening and psycho-educational services to individuals and others as needed, both on and off site.

Provides linkage to other professionals or services including crisis interventions, assessment, referral, and follow-up in an environment safe both for the consumer and staff.

Collaborates with extended family members, natural supports and significant others as appropriate.

Provides family education and consultation in order to help family members and/or other natural supports to develop systems and help the person to manage their symptoms of medical or mental disorders.

Sets up transportation for consumers to attend appointments and/or utilizes personal vehicle to transport consumers, if appropriate.

Schedules appointments with consideration of the consumer and family needs and preferences.

Meets established weekly direct service expectations and monthly attestation requirements.

Utilizes the consumer's electronic health record (EHR) to ensure that documentation is complete, accurate, timely and meets regulatory and agency standards.

Follows policies and procedures with regard to the EHR to ensure that the services provided are consistent with best practices, assessment and/or treatment goals.

Participates in scheduled meetings, including case reviews, supervisory sessions, staff meetings and other inter-agency and intra-agency meetings as appropriate for program and consumers.

Maintains and utilizes knowledge of community resources.

Participates in the provision of services in a team approach, networking with other providers and providing backup services in the absence of other staff.

Provides public education and professional consultation services, when appropriate.

Uses personal vehicle as may be required for consumer transportation, outreach in the community, home visits, and/or agency related business.

Locates, uses, monitors, and/or develops community resources and services for consumers.

Engages consumers in developing rehabilitation plans and programming.


Communicates effectively both verbally and in writing, establishes positive public relations and interacts effectively with a diverse array of professionals and consumers.

Maintains appropriate boundaries and displays respect and courtesy to all internal and external customers.

Demonstrates patience, caring, compassion, and sensitivity toward consumers.

Completes and submits required documentation in a timely manner and according to policies and procedures.

Participates in training to maintain or enhance job skills.

Ensures that confidentiality is maintained at all times in accordance with federal, state, and agency standards.

Adheres to the agency's Risk and Safety Management Programs.

Adheres to the agency's Organizational Standards for Performance (see attached).

Functions in a cost-effective manner with regard to the utilization of time, supplies and other agency resources.

Attends meetings and supervisions as required and necessary for the position.

Promotes and fosters effective relations, both inside and outside of the agency.

May perform other related duties as required.


Bachelor's Degree in related field or unrelated field with minimum of one year related experience required.

Duties require knowledge of child development and experience working with children with special needs.

Must possess a valid State of Maine driver's license.


Detail-oriented with good organizational and time management skills

Ability to manage multiple priorities and tasks, and consistently meet deadlines.

Ability to demonstrate good problem solving and critical thinking skills.

Ability to work effectively on a multi-disciplinary team.

Ability to assess situations for personal and consumer safety.

Ability to respond effectively in crisis situations.

Demonstrated ability to provide individual, group, conjoint, or family therapeutic interventions specific to the consumer population.

Ability to manage stressful situations.

Ability to work effectively with community referral sources and caretakers.

Familiarity with psychotropic medication usage and monitoring its use.

Willingness to work flexible hours.

Proficient with the use of a computer and job-specific software applications


This position has no supervisory responsibilities.


Normal office environment, not subject to extremes in temperature, noise, odors, etc.; may also be subjected to unpredictable environments with extremes in temperature, noise, odors, weather conditions, etc.

Regular use of computer keyboards, telephone and operating office machines, requiring eye-hand coordination and finger dexterity. 

Occasional lifting and carrying of supplies, files, documents, records, etc.

May be asked to operate a motor vehicle in all types of weather.

The above statements are intended to describe the general nature and level of work being performed by people assigned to do this job.  The above is not intended to be an exhaustive list of all responsibilities and duties required.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

*External and internal applicants, as well as position incumbents who become disabled as defined under the Americans With Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.

This job description does not constitute an employment agreement between the employer and employee, and is subject to change by the employer, as the needs of the employer and requirements of the job change.