Client Care Coordinator/ Social Worker (Bronx)

About the role

The Client Care Coordinator is responsible for the overall delivery and coordination of mental health and related services for homeless individuals. The role enhances existing services to include a thorough assessment of clients’ long-term goals at intake and collaborates with case management staff to set achievable goals while establishing community linkages to ensure the client’s successful progress toward independent living. Location: Bronx, NY.

Responsibilities

• Complete a comprehensive bio-psychosocial assessment with each client to understand strengths and service needs.
• Provide clear written reports that capture client assessment findings and recommendations.
• Assist single men who are homeless as they navigate multiple systems and cope with stressors and anxiety induced by homelessness.
• Provide outreach services, crisis intervention, risk assessment, safety planning, and psych-education for men.
• Prioritize and conduct unit visits to high-risk clients in-shelter to coordinate safety planning efforts.
• Prepare clients to accept services and collaborate with ACS and/or prevention services agencies to advocate on their behalf.
• Make appropriate referrals and facilitate linkages between mental health providers, government agencies, and community-based services.
• Serve as an agency/program liaison between government agencies, community-based organizations, and groups.
• Improve access to mental health services for clients in-shelter by facilitating in-person or telehealth services.
• Work effectively as part of a multi-disciplinary team to enhance engagement and ensure quality service.
• Confer and consult with professional and technical personnel to implement a multidisciplinary approach to client care.
• Deliver enhanced mental health services, including biopsychosocial assessments, on-site mental health services, clinical care coordination, and linkage to care (medication management or psychotherapy).
• Promote telehealth usage via H+H Express Care and other providers of the client’s choice.
• Utilize DHS Referral Basics to match client needs, assist with scheduling, coordinate transportation, and provide warm hand-offs.
• Follow up on referrals to confirm attendance, address concerns, and assist with rescheduling if needed.
• Use motivational interviewing to re-engage clients who are hesitant about treatment.
• Facilitate therapeutic groups (e.g., music, art, support groups) to address family issues and enhance life skills.
• Participate in family meetings with case management and housing staff to discuss planning efforts and progress.
• Assist clients with completing applications for supportive housing and accompany them to interviews.
• Upon linkage to permanent housing, complete and discuss an exit summary with the client and provide referrals for community-based supportive services.
• Utilize fact sheets, desk guides, and other resources in delivering mental health services.
• Complete all documentation in a timely manner; document services, efforts, and outcomes in CARES.
• Compile information and data for internal and external reports.
• Attend professional development training and opportunities, including FWC mental health trainings delivered by DHS.
• Perform other duties as assigned.

Requirements

• Must be a Licensed Master Social Worker (LMSW) in the state of New York upon hire or obtain licensure within three months of hire.
• Master’s degree in social work from an accredited school of social work.
• At least one year of experience in social services, counseling, crisis intervention, family services, preventive services, housing services, or homeless services (strongly preferred).
• Knowledge and experience working with diverse cultures and ethnicities.
• Expertise in strengths-based, solution-focused, and family-centered practice.
• Experience facilitating groups for adults.
• Proficiency in Spanish and/or French is a plus.
• Excellent written and verbal communication skills.
• Excellent interpersonal skills and computer literacy in Microsoft Office.

Other Requirements

• Ability to lift and move objects weighing up to 30 pounds several times a week.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.