Care Coordinator Bilingual Spanish

Reports to: Care Manager Supervisor, Health Services
Location: 503 Fifth Avenue, Brooklyn, NY 11215

Schedule

35 hours per week, non-exempt. Staff are expected to be onsite as requested. Hybrid schedules may be provided based on program needs and leadership discretion.

Pay

• Care Coordinators with two years experience or less: $48,000–$53,000 annually
• Care Coordinators with two years experience or more: $50,000–$55,000 annually

Responsibilities

• Obtains required Care Management enrollment consents from the individual or legal guardian.
• Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care management.
• Responsible for the overall management of the patient’s Individualized Plan of Care, including:
  • Coordinating the enrollee’s provision of services as per their acuity level.
  • Supporting adherence to treatment recommendations.
  • Monitoring and evaluating a patient’s needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
• Meets client contact requirements, including face-to-face visits on a consistent schedule as mandated by acuity level (high, medium, or low).
• Meets Care Management documentation requirements in a timely and accurate manner by utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records (EHRs).
• Functions as an advocate for clients within the agency and external service providers.
• Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences.
• Educates the child/caregiver on care of chronic conditions, immunization, screening, and other preventive interventions.
• Helps clients obtain and maintain public benefits necessary to gain health care services, including Medicaid, cash assistance, Social Security, SNAP, housing, legal services, employment and training supports, and others.
• Effectively communicates and shares information with individuals, their families, and other caregivers with appropriate consideration for language, literacy, and cultural preferences.
• Conducts care planning meetings/conferences and serves as an interdisciplinary team member to provide/coordinate comprehensive and holistic care.
• Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up, and coordination of services.
• In the event of hospital admissions, actively engages in the discharge planning process to ensure the patient has all recommended post-discharge services in place prior to discharge.
• Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position.
• Ensures the child has periodic evaluations and follow-up treatment for dental, vision, and hearing care, following Medicaid EPSDT guidelines.
• Performs all other duties as needed.

Requirements

• Bilingual (Spanish/English) candidates are highly encouraged to apply.
• Previous experience as a Case Planner, Care Coordinator, Case Manager, and/or Case Worker in a social service setting.
• Experience with Child Welfare, ACS, and Foster Care is helpful.
• Relevant expertise and experience in serving children and families in child welfare, developmental disabilities, mental health, healthcare, and/or other systems, as well as those receiving preventive services.
• Care Coordinators serving high-acuity enrollees must have demonstrated knowledge and understanding of the needs of such children and their families, as evidenced by additional years of experience, education, or training.
• Care Coordinators assigned to children with medical fragility must have extensive experience in coordinating their care.
• Experience providing service coordination and information, linkages, and referrals for community-based services.

Qualifications

Education and/or credential requirements are determined by children’s acuity level and require one or more of the following:

• Bachelor of Arts or Science degree with two years’ experience.