Care Coordinator

sus.com; New York (NY); Hybrid; USD 45,000 - 48,000; Full time

Job summary

An established industry player is seeking a dedicated Care Coordinator to provide essential services to HIV-positive clients with complex medical and mental health needs. This role involves engaging clients, ensuring they receive comprehensive care, and collaborating with a multidisciplinary team. The ideal candidate will have a background in mental health services and be bilingual in English and Spanish. With flexible hybrid schedules and a comprehensive benefits package, this position offers a fulfilling opportunity to make a significant impact in the community.

Benefits

Medical/Dental/Prescription/Vision Insurance

403(b) Retirement Plan

Flexible Hybrid Schedules

Generous Paid Vacations and Holidays

Transportation Plan

Short- and Long-Term Disability

Qualifications

• 2 years’ experience providing direct services to mentally disabled clients.
• Basic knowledge of mental illness and community support programs.

Responsibilities

• Engage and enroll clients from the NYS DOH list of eligible beneficiaries.
• Ensure clients attend medical appointments and comply with prescribed regimens.
• Coordinate care and collaborate with healthcare providers.

Skills

Client Engagement

Documentation Skills

Collaboration

Community Resource Research

Bilingual English/Spanish

Education

B.A. degree in a related field

Job description

Min

USD $45,000.00/Yr.

Max

USD $48,000.00/Yr.

Position Overview

SCOPE OF ROLE:

The Care Coordinator provides services in the Clinical Home and in the community to HIV-positive clients living with complex medical conditions, severe mental illness, substance abuse, and long-term care needs, with a history or risk of over-utilizing medical and behavioral health services.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Help find, engage, and enroll clients from the NYS DOH list of eligible Brooklyn and Manhattan Medicaid beneficiaries who have chronic illnesses and possible mental illness and/or substance abuse.
• Ensure clients reliably attend medical appointments at outpatient clinics.
• Ensure clients comply with prescribed regimens.
• Write clear service plans and progress notes; maintain meticulous documentation of service visits.
• Manage a caseload of clients, each to be visited at least once per month with at least one service provided during that visit.
• Coordinate ancillary care to ensure continuous, comprehensive care.
• Collaborate regularly with team members, primary care and specialty doctors, and all partners.
• Initiate appropriate referrals to additional services including home care, and notify support staff to ensure authorization.
• Assist clients in obtaining transportation access.
• Research, evaluate, and recommend community resources to meet non-medical needs (e.g., support groups, community services).
• Work with inpatient providers, discharge planners, and nurse partners to optimize inpatient resource use and facilitate timely discharges.
• Participate in client care conferences for medical and peer review.
• Collaborate with mental health and substance abuse providers to coordinate and integrate services.
• Work with the ValueOptions Field Care Coordinator to link clients to illness management services.
• Provide verbal and written education on illness management protocols.
• Report serious incidents or sensitive situations immediately, completing incident reports per CIDP policy.

Locations available: Bronx

Bilingual English/Spanish is strongly preferred.

We offer flexible hybrid schedules and reimbursement for travel.

Benefits Overview: We provide attractive compensation and comprehensive benefits including Medical/Dental/Prescription/Vision/Life Insurance; 403(b); Credit Union; FSAs; Short- and Long-Term Disability; Transportation Plan; Generous Paid Vacations and Holidays.

Qualifications

REQUIRED EDUCATION AND EXPERIENCE

- B.A. degree in a related field.

- 2 years’ experience providing direct services to mentally disabled clients or linking them to essential community services.

PREFERRED QUALIFICATIONS & SKILLS

• Basic knowledge of mental illness and serious emotional disturbances.
• Basic understanding of treatment, rehabilitation, and community support programs relevant to clients, families, and staff.
• Bilingual English/Spanish.