Martha Flores

The comprehensive perinatal health worker case coordinator(CPHW) provide orientation and education to ROADS prenatal patients as part of comprehensive prenatal service program. The (CPHW) will maintaining contact with the patient from the start of their prenatal care through the postpartum period. The (CPHW) is part of the interdisciplinary care team that includes the hair care provider, nurse, medical assistant, and a referral coordinator.

The navigator responsibilities are to coordinate care and helps with coordinating appointment group meetings, and referrals for all mothers enrolled in our program. Navigator also attends most of the OB visits as well as works directly with the pediatrician and the OB doctor to ensure that mommy and the baby are following their case plan. Navigator also work with community partners to provide resources to the families to access employment mental health services, children services, housing primary care, and basic needs. Resource resources are recovery based client centered client driven, and culturally competent.

Navigators responsibility is notifying the providers team when the patient is ready for the appointment and keeps medical staff informed of any unusual problems.Assisting patients in

applying for Medicaid or other financial assistance programs.(Housing, Medical,

Resources) Working within any area of healthcare, including emergency, dental,

psychiatric, and mental health, and HIV. Help patients decide and prepare for treatment options.Fully detailed progress notes on patients progress from beginning to end of care-plan.Participating in training to acquire the skills and resources necessary to assist patiently.Working very close with patients doctors, social worker, pharmacist and any other professional part of patients care management team.Conducting home visits to patients residents to check up on the patient and accompany with any social needs such as applications for entitlements, social security and other needs.Educating self on medical and social resources to increase effectiveness and efficiency.Creating an environment for the

patient where he/she won't feel judged but comfortable to express self, success, difficulties, and goals.

★ As a parent partner is designed to work specifically in support of children and

families. Parent Partner is responsible for working with parents to represent

their best interests. He/she attends the CFT meetings and actively participates in

development of the Child and Family Plan. Must demonstrate ability to conduct a

strengths interview with family members; tell your own story to engage families,

build on family strengths; communicate clearly and write activity notes. The

Parent Partner assists other team members in coordinating services. The Parent

Partner works under the Parent Partner Coordinator in collaboration with the

Supervisor. Parent Partners participate in Network and Spa meetings and

training, as appropriate. Parent Partners are expected to develop specialties over

time, such as housing, domestic violence, substance abuse or community linkages.

Bilingual Parent Partners are assigned based on cultural needs as determined by

the Supervisor. The parent partner is also responsible to bill for services.

★ Facilitate linkage of services of clients and their families to agencies that provide

Mental Health and court mandated specialized services to probation aged youth,

SED youth clients, juvenile high risk/high needs cases, and work with both male

and female populations involved with DCFS and Probation.

★ • Facilitate and conduct weekly service client, family and team meetings to ensure

treatment progress and accurate service referral.

★ • Provide direct progress reports to juvenile courts and service referral agencies

and staff on a regular basis.

★ • Provide collateral service and individual rehabilitation services to IFCCS and

Wraparound youth and families on a weekly basis