Bilingual AOT Care Coordinator

Mental Health Association of Nassau County (MHANC) is a not-for-profit membership organization dedicated to improving mental health in our community through advocacy, education, program development and the delivery of direct services.

About the role

The AOT Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to a caseload of severely mentally ill adults court-ordered to participate with a medication and treatment regimen. The AOT Care Coordinator supports the client, engages with community agencies/health care providers and others on the members’ behalf to ensure access to services needed to increase wellness, self-management and reduce emergency room visits and/or hospitalizations. The AOT Care Coordinator provides support to the team by providing consultation, education, information around psychosocial and/or substance abuse conditions, interventions and resources to maintain focus on outcomes and best practices.

Responsibilities

• Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.
• Maintains electronic case files and keeps the Supervisor/Director informed and up-to-date on client issues.
• Participates in the development/documentation/review and update of client-centered comprehensive, integrated, interdisciplinary care plan in consultation with the Care Manager and other team members to ensure focus on desired outcomes.
• Maintains effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other agency staff on behalf of clients.
• Provides weekly documentation to the County on the progress of AOT clients. Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner.
• Coordinates care planning with other providers of services/resources to ensure goal-directed collaborative care, including care transitions.
• Works as a part of a Care Coordination team; attends and participates in team meetings to provide input/feedback around psychosocial conditions to review client status, update plans and goals and review outcomes to further program goals.
• Participates in staff meeting as well as bi-weekly supervision meeting with Supervisor/Director.
• Engages clients to participate in full treatment as listed in AOT order.
• Provides telephonic as well as face-to-face outreach, engagement and service planning in the field.
• Acts as a linkage to community services including medical, behavioral, residential, substance abuse, entitlement and any other needed services per interdisciplinary care plan.
• Monitors overall service delivery to clients to ensure coordination and continuity; advocates with service providers/resources as needed.
• Provides crisis intervention and follow-up.
• Other duties as assigned.

Requirements

Education & Experience

• Master’s Degree with one year of experience providing direct services to people with Serious Mental Health Illness, Developmental Disabilities, alcoholism, or substance abuse. Degree must be in: Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational Therapy.
• Bachelor’s level candidates must have two years of experience providing direct services to people with Serious Mental Health Illness, Developmental Disabilities, alcoholism, or substance abuse. Degree must be in the same fields listed above.
• Credentialed Alcoholism and Substance Abuse Counselor (CASAC) with two years of experience.
• Bachelor’s Degree or higher in any field with either three years of experience or two years of experience as a Health Home Care Manager servicing SMI or SED.

Qualifications

• Bilingual in Spanish and English required.
• Experienced in and demonstrated comprehensive understanding and working knowledge of the interdisciplinary planning process and the developmental treatment model.
• Knowledge of Medicaid, Social Security, and other entitlements preferred.
• Excellent interpersonal skills required.
• Must have the ability and willingness to regularly travel to various locations in Nassau County, using agency vehicle when transporting consumers.
• Valid NYS Driver’s License; must take defensive driving course through agency or external provider.
• Working knowledge of computer software (Microsoft Word, Outlook) and electronic health records systems.
• Strong verbal and written communication skills required, as well as being detail-oriented, organized, and able to handle multiple projects at the same time.