Care Management Coordinator - MSW

Northwell Health; Massapequa (NY); On-site; USD 65,000 - 75,000; Full time

Job summary

Northwell Health is seeking a HealthySteps Specialist to support families of children aged 0-5 within the pediatric primary care setting. You will work with the care team during well visits, maintain a directory of community resources, and ensure timely responses to family needs.

You will document all clinical activities in the electronic health record, coordinate referrals, and participate in team meetings to optimize care delivery and outcomes for young children and their families.

Qualifications

• Master’s degree in social work or related field.
• NYS Licensure required within 6 months of hire.

Responsibilities

• Implements and sustains the HealthySteps model with families of children 0-5 alongside the pediatric primary care team.
• Attends in-person team-based well visits to reach families during primary care appointments.
• Maintains a HealthySteps family support line and responds to calls within designated response time.
• Provides referrals to families for individualized needs and documents all clinical activities in the EHR.
• Tracks caseload and ensures capacity to deliver services within the delivery model.

Education

Master’s degree in social work or related field

NYS Licensure within 6 months of hire

Tools

HealthySteps training

Job description

• Implement and sustain the evidence-based HealthySteps model in supporting families of children ages 0-5 with development, learning and growth, and overall wellbeing, in conjunction with the pediatric primary care team.
• Joins and participates in in-person team-based well visits to reach families during primary care appointments.
• Creates and maintains up-to-date community partnership and resource directory.
• Maintains a HealthySteps family support line and responds to and track call requests within designated response time.
• Provides appropriate referrals to families for support with individualized needs.
• Appropriately documents all clinical activities and care coordination in the electronic health record with consideration to patient confidentiality.
• Attend and participate in team meetings, huddles, and patient care meetings as appropriate.
• Tracks caseload to ensure capacity to deliver HealthySteps services within the delivery model. Ensure when termination criteria are met and/ or expedite families requiring further support to higher levels of care through health system and community referrals, as appropriate.
• Use team-based communication strategies to close the loop on referrals and follow up for outstanding patient needs.
• May facilitate caregiver support groups as appropriate.
• Participates in reflective clinical supervision meetings.
• Maintains accurate records of caseload data as appropriate for program management, evaluation, and reporting purposes.

Job Qualification

• Master’s degree in social work or related field, required.
• NYS Licensure required within 6 months of hire, if applicable.
• 1-3 years of relevant experience working with children and families, required.
• Successful completion of the HealthySteps Specialist training within 6 months of hire.
• Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).