Care Coordinator

Services for the UnderServed; New York (NY); On-site; USD 45,000 - 75,000; Full time

Job summary

An established industry player is seeking a dedicated Care Coordinator to support HIV-positive clients facing complex medical and mental health challenges. This role involves engaging clients, ensuring they attend medical appointments, and coordinating comprehensive care. The ideal candidate will have a background in mental health services and a passion for helping individuals navigate their healthcare needs. With a focus on collaboration and community resource management, this position offers a fulfilling opportunity to make a significant impact in the lives of those in need. Join a team that values compassion and comprehensive support for vulnerable populations.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

403(b) Retirement Plan

Short- and Long-term Disability

Generous Paid Vacations

Transportation Plan

Qualifications

• 2+ years of experience providing direct services to mentally disabled clients.
• Strong documentation skills and ability to manage client caseloads.

Responsibilities

• Engage and enroll clients with chronic illnesses and mental health issues.
• Coordinate care and collaborate with healthcare providers.
• Assist clients in accessing transportation and community resources.

Skills

Client Engagement

Documentation Skills

Community Resource Research

Collaboration

Bilingual (English/Spanish)

Education

B.A. degree in a related field

Job description

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. The role involves managing clients with a history or risk of over-utilizing medical and behavioral health services.

Essential Duties & Responsibilities

1. 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 or substance abuse issues.
2. Ensure clients reliably attend medical appointments at outpatient clinics.
3. Ensure clients comply with prescribed regimens.
4. Write clear service plans and progress notes, maintaining meticulous documentation of service visits.
5. Manage a caseload of clients, visiting each at least once per month and providing at least one service during each visit.
6. Coordinate ancillary care to ensure continuous, comprehensive care.
7. Collaborate regularly with team members, primary care and specialty doctors, and partners.
8. Initiate appropriate referrals to additional services, including home care, and notify support staff to ensure authorization.
9. Assist clients in accessing transportation.
10. Research, evaluate, and recommend community resources to meet non-medical needs.
11. Work with inpatient providers, discharge planners, and nurse partners to optimize inpatient resource use and facilitate timely discharges.
12. Participate in client care conferences for medical and peer review.
13. Collaborate with mental health and substance abuse providers to coordinate and integrate services.
14. Work with the ValueOptions Field Care Coordinator to connect clients with illness management services.
15. Provide verbal and written education on illness management protocols.
16. Report serious incidents or sensitive situations immediately to supervisors and complete incident reports as per policy.

Locations Available

Bronx

Qualifications

Required Education and Experience:

- B.A. degree in a related field.

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

Preferred Qualifications & Skills

- Basic knowledge of mental illness and emotional disturbances.

- Knowledge of treatment, rehabilitation, and community support programs.

- Bilingual in English and Spanish is strongly preferred.

Benefits

We offer attractive compensation with comprehensive benefits including medical, dental, prescription, vision, life insurance; 403(b); credit union; FSAs; short- and long-term disability; transportation plan; and generous paid vacations and holidays.