Care Coordinator

About the role

The Care Coordinator functions as a member of an interdisciplinary team to provide care coordination to adults diagnosed with a severe mental illness, with multiple medical co-morbidities and/or co-occurring substance abuse disorders. The Care Coordinator advocates for and supports the client, engages with community agencies/health care providers and others on the client's behalf to ensure access to services, to increase wellness self-management and to reduce emergency room visits and/ or hospitalizations.

Responsibilities

• Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.
• Participates in the development/documentation /review and update of client centered comprehensive, integrated, interdisciplinary care plan in consultation with Program Supervisor 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.
• Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.
• Coordinates care planning with other providers of services/ resources to ensure goal directed, collaborative care, including care transitions.
• Works as part of a Care Coordination team; attends and participates in team meetings to provide input/feedback around psychosocial conditions/comorbidities to review client status, update plans and goals, review outcomes to further program goals.
• Acts as a resources/consultant to all team members on psychosocial and/or substance abuse issues and resources.
• 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, 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 on an as-needed basis 24 hours a day, 7 days a week.
• Participate in ongoing supervision, training and education as needed to ensure a high quality of service delivery and continued professional growth.

Requirements

• Bachelor's Degree or Master's Degree in one of the following fields preferred: Social Work, Psychology, Education, Rehabilitation, Occupational Therapy, Counseling, Community Mental Health, Sociology, Speech and Hearing, Physical or Recreational therapy.
• For H.S. Diploma/GED level candidates, four (4) years of related human service and direct service experience required.
• For B.A. level candidates, one (1) year of related human service and direct service experience required.
• Experience should be in providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities, in linking clients to a broad range of services essential to independent community living, and in advocacy for underserved or disenfranchised populations.
• Bilingual preferred.
• Working knowledge of computer software and electronic health record systems.
• Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.
• Experienced in and demonstrated comprehensive understanding and working knowledge of the interdisciplinary planning process and the developmental treatment model.
• Knowledge and sociological understanding of Medicaid, Social Security and other entitlements preferred.
• Excellent interpersonal skills required.
• Knowledge of cultural competence and sensitivity.

Skills

• Ability to cultivate a culture of inclusion for all employees that respects their individual strengths, views and experiences.
• Ability and willingness to regularly travel, in some instances with clients in Agency vehicles, to many locations using various modes of reliable and safe transportation.
• Valid Tri-state (New York, New Jersey or Connecticut) driver's license required if working in Nassau or Suffolk Counties.

Benefits

• Medical, Dental, Vision insurance
• $0 Deductible Platinum Plus Medical Insurance Plan - 90% Employer Provided Benefit
• Flexible Spending Account
• 403(b) retirement plan
• Long Term and Short Term Disability
• Legal Plan
• Dependent Care Expense Account
• Life Insurance/Supplemental Life Insurance
• Pet Insurance
• HRA
• Training programs including a Mentorship program
• Employee Perks and Discounts to Broadway shows and more
• 5 Personal Days, 10-20 Vacation Days, 12 Sick Days, 12 Company Paid Holidays-yearly