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About the Role

The Care Coordinator (CC) is responsible for providing care coordination activities for clients’ support system within or outside of the Health Home network. The CC coordinates comprehensive medical and behavioral health care to patients with chronic conditions through care coordination and integration that assures access to appropriate services, improves health outcomes, reduces preventable hospitalizations and emergency room visits, promotes use of health information technology and avoids unnecessary care.

Responsibilities

Coordinate comprehensive medical and behavioral health care for patients with chronic conditions.
Assure access to appropriate services, improve health outcomes, and reduce preventable hospitalizations and emergency room visits.
Promote the use of health information technology and avoid unnecessary care.
Advocate for clients to obtain the full range of needed services and ensure coordination through service delivery at least monthly.
Promote linkage development and monitor the effectiveness of linkages with other service providers through active case conferencing.
Ensure community outreach and engagement to retain clients in care.
Promote client compliance with medical appointments and encourage client self-sufficiency and empowerment.
Conduct initial and ongoing assessments of assigned clients to document strengths, needs, goals, and resources within Health Home timelines.
Ensure all client contacts, home visits, and back-up documentation are completed in a timely manner according to program standards.
Lead care coordination team activities.
Screen clients for Health Home eligibility.
Plan and evaluate service plans and monitor objectives consistently.
Write progress notes daily and enter them into the electronic medical records management system in a timely manner.
Perform home visits according to client needs.
Educate clients and families on health and human service resources, assist in obtaining services, and follow up on service delivery weekly.
Assist clients with completing applications and/or letter writing regularly.
Maintain effective communication with service providers, family, and collateral resources professionally while advocating for clients’ special needs.
Assist clients with problem-solving activities.
Intervene appropriately in situations requiring immediate attention (e.g., crisis planning and intervention) to ensure client and family safety.
Maintain at least the minimum billing standards for the Health Home (i.e., perform 1 core service per month as necessary).
Serve as a member of a Care Coordination team, interacting frequently with team members to ensure coordinated activities.
Attend and participate in team meetings to provide feedback/input regarding client status, update plans and goals, and review outcomes.
Conduct client outreach and engagement while in the field.
Use own vehicle to travel to meet clients.

Requirements

Bachelor's degree in healthcare or human services and at least 2 years of qualifying experience.
A Master's degree in healthcare or human services may be substituted for 1 year of experience.
Bilingual preferred (English/Spanish speaking).
Valid driver’s license, safe driving record, valid auto insurance, and access to a vehicle is required.
Qualifying experience: verifiable full or part-time case management or case work with persons with HIV, AIDS, mental illness, homelessness, chemical dependence, chronic illnesses, or other populations of persons in need.

Skills

Care coordination
Case management
Case work
Client advocacy
Community outreach
Crisis intervention
Electronic medical records management

Location

Ronkonkoma, NY (In person)
Field visits required within Suffolk and Eastern Nassau County

Work Type

Full-time
Non-exempt

Experience Level

2 years of qualifying experience (or Master's degree for 1 year substitution)

Education Level

Bachelor's degree in healthcare or human services
Master's degree in healthcare or human services

Salary/Compensations

$44,850/year - $58,500/year
$23.00/hour - $30.00/hour

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
5 Wellness Days
10-22 Vacation Days
8 Sick Days
11 Paid Holidays
403(b) retirement plan with an employer match
Employee Assistance Program
Tuition Assistance
Wellness Initiatives
Paid Training
On-the-Job Training
Promotional Opportunities
Mileage reimbursement
Life Insurance
Flexible Spending Account
$500 Sign-on Bonus

About the Company

Options for Community Living, Inc. is committed to helping Long Island’s most vulnerable families and individuals live healthier, more stable, and productive lives.
Established in 1982 to respond to the need for housing in the community for people with serious mental illness.
Serves over 2,000 adults and children annually and manages more than 160 residential properties across Long Island.
Incredible people doing meaningful work.
People come to work at Options to help improve the overall quality of life for individuals within the community.
Our welcoming workforce is dedicated to helping the most vulnerable Long Islanders reach their fullest potential.