Care Coordination Specialist - Outreach & Support

Postgraduate Center for Mental Health; New York (NY); On-site; USD 52,000 - 68,000; Full time

Job summary

Postgraduate Center for Mental Health seeks a Care Coordinator to join its Care Coordination team. Under supervision, you will address member needs, provide care plan updates, and conduct outreach between visits.

You will coordinate care for 40-50 members and engage with healthcare providers and families to support comprehensive care. You will perform needs assessments, help tailor communications to health literacy levels, and assist with accessing healthcare and social services, including

Qualifications

• High School Diploma and CASAC required.
• Associate Degree in relevant field plus three years of related human services experience.
• Bachelor’s Degree in relevant field plus two years of related human services experience.
• Master’s Degree in relevant field plus one year of related human services experience.

Responsibilities

• Coordinate care for a caseload of 40-50 members.
• Maintain monthly contact with all caseload members, with increased contact for new and high-risk members.
• Engage members post-handover from Outreach Team through face-to-face, mail, electronic, and phone contact.
• Communicate with primary and specialty care physicians, mental health providers, family, and staff on behalf of members.
• Maintain organized records, statistics, and reports as per policy and procedure.
• Conduct initial and periodic needs assessments, considering barriers, assets, language, literacy, and culture.
• Assist in developing and executing member care plans and communicating at appropriate health-literacy levels.
• Record client progress against measurable goals in the care plan.
• Assist members in accessing healthcare and social systems, arranging transportation, scheduling, and accompanying to appointments.
• Identify community resources and coordinate referrals, access, engagement, follow-up, and services coordination.
• Coordinate access to individual and family supports and resources.
• Assist with daily routines related to healthcare and leverage member strengths to overcome barriers.
• Support outreach and engagement activities to ensure continuity of care and re-engage members who miss appointments.
• Provide crisis intervention and follow-up.
• Monitor member entitlements, insurance, and benefits to ensure active coverage.
• Advocate for members to resolve crises.
• Collaborate with professionals to evaluate medical/behavioral health needs.
• On-call emergency support 2-3 weeks per year.
• Manage wrap-around funds, metro cards, and checks with approvals aligned to member goals.

Education

High School Diploma and CASAC

Associate Degree in Human Services/ Psychology/ Rehabilitation/ Nursing/ Occupational Therapy/ Counseling/ Community Mental Health/ Sociology/ Speech and Health/ Physical or Recreational therapy

Bachelor’s Degree in Social Work/ Psychology/ Education/ Rehabilitation/ Nursing/ Occupational Therapy/ Counseling/ Community Mental Health/ Sociology/ Speech and Hearing/ Physical or Recreational therapy

Master’s Degree in Social Work/ Psychology/ Education/ Rehabilitation/ Nursing/ Occupational Therapy/ Counseling/ Community Mental Health/ Sociology/ Speech and Health/ Physical or Recreational therapy

Job description

Postgraduate Center for Mental Health seeks a Care Coordinator to join its Care Coordination team. Under supervision, you will address member needs, provide care plan updates, and conduct outreach between visits.

You will coordinate care for 40-50 members and engage with healthcare providers and families to support comprehensive care. You will perform needs assessments, help tailor communications to health literacy levels, and assist with accessing healthcare and social services, including