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About the Role

Care Coordinators link adults and children with chronic behavioral health and medical conditions to the services they need to stay as healthy as possible and inspire members to use those services to optimize their health outcomes. Working in a team setting and primarily in the field, Care Coordinators assess risk and needs, develop person-centered care plans, provide care management services, track and arrange appointments, educate members, and coordinate other aspects of members’ health and community services.

Responsibilities

Integrate medical, specialized, and behavioral health services, along with social support and/or educational support services.
Periodically assess a member’s medical and behavioral health needs and compliance with recommended treatments.
Collaboratively develop an Individualized Care Plan (ICP) with the member, their family/caregivers, and other service providers.
Provide required care management services.
Track all specialty medical, behavioral, and support service referrals using provided Health Information Technology (HIT).
Ensure members have access to, engage in, and retain needed services as defined in the ICP, including acute/primary/preventative medical care, home health care, chemical dependency services, behavioral health services, community social support, housing, state/federal entitlements, educational services, and involvement with justice or child welfare systems.
Provide outreach services to members to increase access to services.
Respond to members’ information and referral questions.
Reassess the need for ongoing care coordination services.
Complete all required documentation.
Share knowledge and experience with team members to support overall service provision.
Carry an agency-provided cell phone.
Respond to member crises during and occasionally outside of regular business hours.
Perform other duties as assigned.

Requirements

Positive attitude and a growth mindset.
Ability to engage with clients and peers and provide culturally competent services.
Strong verbal and written communication skills.
Attention to detail.
Ability to work independently and within a team.
Ability to partner with clients to conduct assessments and create care plans.
Strong time management and organizational skills.
Integrity and transparency.
Ability to exercise strong professional judgment.
Experience working in interdisciplinary teams.
Experience providing care management or care coordination in a medical or behavioral health environment.
Experience working with the chronically ill.
Ability to read paper and electronic documents.
Ability to perform significant data entry into various computer programs.
Manual dexterity and hand-eye coordination for data entry and record keeping.
Ability to travel within New York City carrying equipment weighing up to approximately 10 pounds.
Ability to routinely sit (60% of the time), stand (20% of the time), and travel to and from appointments using varied public and private transportation options (20% of the time).

Skills

Culturally competent services
Verbal communication
Written communication
Attention to detail
Independent work
Teamwork
Client partnership
Assessment
Care planning
Time management
Organizational skills
Integrity
Transparency
Professional judgment
Care management
Care coordination
Electronic Health Record (EHR) usage
Outlook usage
Microsoft Office Applications usage
Data entry
Record keeping

Location

New York City

Work Type

Field-based
Office-based
Community settings

Experience Level

Two years of experience in providing direct services, or a substantial number of case management services, to mentally disabled or chronically ill or homeless individuals, or children with complex social or healthcare needs (if applicable with specific degree).
Five years’ experience working with an applicable population (if applicable with a different degree).

Education Level

Bachelor's degree with a major or concentration (minimum of 24 credits) in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech and hearing.
NYS teacher's certification for which a bachelor's degree is required.
NYS licensure and registration as a Registered Nurse and a bachelor's degree.
Bachelor’s Degree, Associates Degree or High School Diploma/GED in another discipline.

About the Company

The Jewish Board’s Community Care Management programs provide compassionate, high quality, evidence-based services to individuals and families in the communities we serve.
Our staff use a culturally competent, person-centered approach to help individuals and their families develop skills and resources to improve overall functioning, to instill hope, and to strengthen resiliency.
Our programs work closely with community partners to address health disparities in our neighborhoods while also celebrating the strengths and resilience of our communities.
Care Management is a service that helps adults with chronic illnesses get and use the medical, social and community services they need to stay healthy.
Care Coordinators help members figure out and take the actions needed to get and stay healthy-making it to appointments, sticking to a medication schedule, and access benefits.

Equal Opportunity

We are an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, veteran status, or any other status protected by applicable federal, state, or local law.