Care Coordinator (Suffolk)

New Horizon Counseling Center, Inc.; Copiague (NY); On-site; USD 45,000 - 55,000; Full time

Job summary

New Horizon Counseling Center is seeking a Health Home Care Manager to help individuals with complex medical, behavioral health, and social needs live in the community. This is a hands-on, community-based role focusing on outreach, advocacy, and coordination across providers.

You will assess client needs, develop individualized care plans, connect with housing, benefits, and health services, and support transitions from hospital to community.

Qualifications

• Bachelor's degree in a relevant field is required.
• Direct human services experience is preferred (minimum 1 year).
• Strong communication, organization, documentation, and advocacy skills are essential.
• Willingness to travel regularly throughout the community.

Responsibilities

• Engage clients in the community through face-to-face outreach and regular contact.
• Complete initial and ongoing assessments to identify client strengths, needs, goals, and barriers.
• Develop and implement individualized care plans with clients and their providers.
• Coordinate appointments and follow-up care with primary care, behavioral health, hospitals, rehabilitation facilities, and other providers.
• Assist clients transitioning from hospitals, emergency departments, or rehabilitation programs back into the community.
• Identify and address gaps in care, including missed appointments, medication concerns, and unmet healthcare needs.
• Connect clients to resources addressing housing, food insecurity, transportation, benefits, employment, and other social determinants of health.
• Assist clients with accessing benefits and community resources such as SSI/SSD, SNAP, HEAP, Medicaid, housing programs, and other supportive services.
• Advocate for clients and help them navigate complicated healthcare and social service systems.
• Collaborate with providers, family members, community agencies, and other members of the client's care team.
• Maintain accurate and timely documentation, care plans, assessments, and required reports.
• Travel regularly throughout the community to meet with clients and providers

Skills

Communication

Organization

Documentation

Advocacy

Education

Bachelor's degree in Social Work, Human Services, Psychology, Public Health, or related field

Job description

NOW HIRING: HEALTH HOME CARE MANAGER

Full-Time | New Horizon Counseling Center | Starting Salary: $50,000/year

Are you passionate about helping people navigate healthcare, behavioral health, housing, and community resources?

New Horizon Counseling Center is seeking a Health Home Care Manager to join our team and help individuals with complex medical, behavioral health, and social needs successfully live in the community.

This is a hands-on, community-based position for someone who enjoys building relationships, advocating for clients, coordinating services, and helping people overcome barriers to care.

What You'll Do

As a Health Home Care Manager, you will work directly with clients to assess their needs, develop individualized care plans, coordinate services, and connect them with resources that support their health and stability.

Your responsibilities will include:

• Engage clients in the community through face-to-face outreach and regular contact.
• Complete initial and ongoing assessments to identify client strengths, needs, goals, and barriers.
• Develop and implement individualized care plans with clients and their providers.
• Coordinate appointments and follow-up care with primary care, behavioral health, hospitals, rehabilitation facilities, and other providers.
• Assist clients transitioning from hospitals, emergency departments, or rehabilitation programs back into the community.
• Identify and address gaps in care, including missed appointments, medication concerns, and unmet healthcare needs.
• Connect clients to resources addressing housing, food insecurity, transportation, benefits, employment, and other social determinants of health.
• Assist clients with accessing benefits and community resources such as SSI/SSD, SNAP, HEAP, Medicaid, housing programs, and other supportive services.
• Advocate for clients and help them navigate complicated healthcare and social service systems.
• Collaborate with providers, family members, community agencies, and other members of the client's care team.
• Maintain accurate and timely documentation, care plans, assessments, and required reports.
• Travel regularly throughout the community to meet with clients and providers

What We're Looking For

Required:

• Bachelor's degree in Social Work, Human Services, Psychology, Public Health, or a related field.
• At least one year of direct human services experience working with individuals with serious mental illness, HIV/AIDS, disabilities, or other complex needs preferred.
• Strong communication, organization, documentation, and advocacy skills.
• Ability to build trusting relationships with individuals from diverse backgrounds.
• Ability to work independently while also collaborating effectively with a team.
• Reliable transportation and the ability to travel regular throughout the community.

Preferred:

• Experience in Health Home, care management, behavioral health, case management, social services, housing, hospital discharge planning, or community-based services.
• Bilingual/multilingual skills.
• Experience working with Medicaid, SSI/SSD, SNAP, housing, or other public benefits.

The Ideal Candidate

You may be a great fit for this position if you are someone who:

Enjoys helping people solve problems and navigate systems
Builds relationships easily and treats clients with dignity and respect
Is organized and able to manage multiple clients and deadlines
Is comfortable working in the community and meeting clients where they are
Is a strong communicator and advocate
Can think creatively when helping clients overcome barriers

Wants meaningful work where you can see the impact you're making

Why Join New Horizon Counseling Center?

• Mission-driven work that directly impacts the lives of individuals and families.
• Supportive team environment with opportunities for mentorship and professional growth.
• Professional development and training.
• Opportunity to build valuable experience in healthcare, behavioral health, and care coordination.
• Starting salary of $50,000/year.