Care Coordinator

PURPOSE: The Jewish Boards 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 OVERVIEW: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 the people they serve (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. As this is an evolving program additional responsibilities will be but are not limited to:Integration of medical specialized and behavioral health services in addition to social support and/or educational support servicesPeriodic assessment of a members medical and behavioral health needs as well as compliance with recommended treatmentsCollaborative development of an Individualized Care Plan (ICP) with the member the members family and/or caregivers in addition to other service providersProviding required care management servicesTracking all specialty medical behavioral and support service referrals made for patient using Health Information Technology (HIT) that member has access to engages in and retains needed services as defined in the members ICP. Such services may include: Acute Medical Care; Primary Medical Care; Preventative medical care services (including metabolic screening); Home Health Care; Chemical Dependency Services; Behavioral Health Services; Community social support services; Housing; State and federal entitlements; Educational services; Involvement with child welfare juvenile justice or criminal justice outreach services to members for increased access to the above servicesResponding to members information and referral the need for ongoing care coordination servicesCompleting all required documentationSharing knowledge and experience with other team members to support the teams overall service provision effortsCarrying an agency-provided cell phoneResponding to member crises during (and occasionally outside of) regular business hoursOther duties as assignedCORE COMPETENCIESfor the position include:Positive attitude and a growth mindsetAbility to engage with clients and peers and provide culturally competent servicesStrong verbal and written communication skillsAttention to detailAbility to work independently as well as within a teamAbility to partner with clients to conduct assessments and create care plansStrong time management and organizational skillsIntegrity and transparencyAbility to exercise strong professional judgmentEDUCATIONAL/TRAINING REQUIRED:A bachelors 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. OR A NYS teachers certification for which a bachelors degree is required;ORNYS licensure and registration as a Registered Nurse and a bachelors degreePLUSTwo 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 which complex social or healthcare Bachelors Degree Associates Degree or High School Diploma/GED in another disciplinePLUSfive years experience working with an applicable experience with the target population may be required to work with Children Health Home Plus or Adult Home Plus REQUIRED/LANGUAGE PREFERENCE:Experience working in interdisciplinary teams; experience providing care management or care coordination in a medical or behavioral health environment; experience working with the chronically in a second language such as Spanish Russian or CreoleCOMPUTER SKILLS REQUIRED:Use of an Electronic Health Record (EHR)Use of Outlook and related Microsoft Office ApplicationsVISUAL AND MANUAL DEXIERITY:The candidate should be able to read paper and electronic documents and perform significant data entry into various computer programsManual dexterity and hand-eye coordination to conduct significant data entry and record keeping ENVIRONMENT/PHYSICAL EFFORTThe work environment varies from office-based interaction with co-workers and members (20-40% of the time) to serving members in their homes and in other community settings (e.g. hospitals clinics benefit offices) 60%-80% of the time. While the offices of the Jewish Board are accessible in accordance with the ADA the sites to which staff may need to travel may or may not perform the essential functions of this job the candidate must be able to travel within New York City carrying equipment such as a notebook forms laptop mobile hotspot and cell phone weighing up to approximately 10 perform the essential functions of this job the candidate is routinely required to sit (60% of the time) and stand (20% of the time) and travel to and from appointments using varied public and private transportation options (20% of the time).Risks/hazards associated with the position are those which may be encountered travelling around New York City.