Case Manager ESD - Crisis Services at Family Residences and Essential Enterprises, Inc. | Bethpage, NY, US | Rezi

Case Manager ESD - Crisis Services at Family Residences and Essential Enterprises, Inc.

Case Manager ESD - Crisis Services

Family Residences and Essential Enterprises, Inc. · Bethpage, NY, US

2 weeks ago

Case Manager ESD - Crisis Services

Family Residences and Essential Enterprises, Inc. · Bethpage, NY, US

18 days ago
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About the Role

The Enhanced Step-Down (ESD) Specialty Critical Time Intervention (CTI) Case Manager provides specialized, time-limited case management and transitional support to adults with co-occurring Serious Mental Illness (SMI) and Intellectual and/or Developmental Disabilities (I/DD) transitioning from hospitals or emergency departments into the community. This role utilizes the Critical Time Intervention (CTI) model to facilitate safe transitions by linking individuals to long-term supports, strengthening relationships, and reducing the likelihood of hospital readmission or crisis recurrence. This position is part of the New York State Office of Mental Health’s (OMH) Enhanced Step-Down Program, integrating a Specialty CTI Team and a Transitional Residential Setting (TRS) for coordinated, person-centered, and trauma-informed care.

Responsibilities

  • Provides specialty CTI services with fidelity to the model, focusing on individuals with co-occurring mental health and developmental disabilities.
  • Conducts comprehensive Immediate Needs Assessments and develops individualized support and transition plans addressing behavioral health, physical health, housing, benefits, and community integration.
  • Collaborates with hospital discharge planners, OPWDD liaisons, and community providers to ensure seamless transitions.
  • Facilitates engagement prior to discharge and provides active follow-up throughout the community transition period.
  • Coordinates linkages to housing, behavioral health, medical, and developmental services and assists individuals in navigating eligibility processes for OMH, OPWDD, and related systems.
  • Supports individuals in developing independent living and coping skills through direct coaching and modeling.
  • Assists in creating and implementing Positive Behavioral Support Plans (PBSPs) in collaboration with the Behavior Intervention Specialist and treatment team.
  • Provides crisis intervention and de-escalation support in community settings when needed.
  • Maintains accurate and timely documentation in accordance with OMH and agency standards.
  • Participates in weekly team meetings, case conferences, and individual supervision to maintain program fidelity and clinical alignment.
  • Upholds trauma-informed, recovery-oriented, and person-centered care principles at all times.
  • Participates in quality improvement, data collection, and outcome reporting activities.
  • Ensures that all required documentation (paper and electronic) is completed/processed appropriately, in a timely manner, and meets quality and compliance thresholds.
  • Performs other duties as assigned.
  • Communicates in a respectful manner with all people.
  • Complies fully with FREE’s confidentiality policies.
  • Meets all safety training requirements and adheres to safety policies.
  • Coordinates, supports, attends and participates in all required events/meetings/reviews/committees.
  • Meets all job requirements and stays in compliance.
  • Adheres to FREE’s standard of ethical behavior.

Requirements

  • Minimum of one (1) year of experience providing direct services to individuals with co-occurring Intellectual/Developmental Disabilities (I/DD) and Serious Mental Illness (SMI).
  • Minimum of one (1) year of experience navigating OMH and/or OPWDD service systems, eligibility processes, and community resource coordination.
  • Valid Driver’s License and satisfy criteria to be an agency driver required.
  • A current PPD (tuberculosis) test or equivalent screening required.
  • A physical examination completed within the past year by a licensed healthcare provider required.
  • Up-to-date immunization records required.
  • Must sign a COVID-19 vaccine declination form if not vaccinated against COVID-19 and elects not to receive the vaccine.
  • Ability to work a flexible schedule, including evenings and weekends, based on program needs.

Skills

  • Working knowledge of behavioral health and developmental disability services and systems.
  • Excellent communication, interpersonal, and organizational skills.
  • Ability to work collaboratively within a multidisciplinary team and across systems.
  • Strong crisis management, advocacy, and problem-solving skills.
  • Proficiency in Microsoft Office Suite and electronic health record systems.
  • Commitment to recovery-oriented, person-centered, and trauma-informed care approaches.
  • Ability to sit, walk and stand for prolonged periods (at least 8 hours).
  • Ability to communicate effectively both verbally and in writing.
  • Ability to operate standard office equipment.
  • Ability to lift/move light items.

Location

  • Nassau County
  • Suffolk County
  • Community settings
  • Partner hospitals
  • Residential facilities

Work Type

  • In-person
  • Community engagement
  • Remote coordination/documentation
  • Flexible schedule
  • Evenings
  • Weekends

Experience Level

  • Minimum of one (1) year of experience

Education Level

  • Bachelor's degree in human services, social work, psychology, rehabilitation, or another related field required
  • Master’s degree in a human services discipline preferred

About the Company

  • FREE is an organization that provides services to individuals with co-occurring Serious Mental Illness (SMI) and Intellectual and/or Developmental Disabilities (I/DD).